| TEN弹性髓内钉治疗Pilon骨折并发腓骨骨折 |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第135-137页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.019 |
| 基金项目: |
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中文摘要:
目的：探讨TEN弹性髓内钉治疗Pilon骨折并发腓骨骨折的临床疗效。
方法：2007年3月至2009年3月，20例Pilon骨折并发腓骨骨折患者，男14例，女6例；年龄35～70岁，平均42.6岁。左侧12例，右侧8例。应用TEN弹性髓内钉治疗。
结果：术后随访6～23个月，平均11.6个月；患者术后2～3个月症状基本缓解并下床活动。按照Johner-Wruhs评价标准，优10例，良8例，中2例。未出现皮肤感染、坏死的病例。
结论：TEN弹性髓内钉治疗Pilon骨折并发腓骨骨折，创伤小、愈合率高、皮肤软组织并发症少，是一种安全、有效的方法。 |
| 【关键词】胫骨骨折 腓骨 骨折固定术，髓内 |
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| Treatment of Pilon fractures complicated with fractures of fibula with titanic elastic nailing |
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ABSTRACT
Objective: To explore the effect of titanic elastic nailing(TEN) fixing for Pilon fractures complicated with fractures of fibula.
Methods: From March 2007 to March 2009,20 patients with Pilon fractures complicated with fractures of fibula were surgically treated with TEN. There were 14 males and 7 females with an average age of 42.6 years ranging from 35 to 70 years. Among them,12 cases were on the left,8 cases were on the right.
Results: All patients were followed-up for from 6 to 23 months (averaged 11.6 months). The symptoms of all patients had primarily relieved and the patients coulde ambulate at 2 to 3 months after treatment. According to Johner-Wruhs critera,the thetapeutic results were excellent in 10 cases,good in 8 cases,fair in 2 cases. No case had skin infection and skin necrosis.
Conclusion: Treatment of Pilon fractures complicated with fractures of fibula with TEN has the advantages such as less invasion,high rate of bone union and less soft tissue complication,it is a safe and effective procedure. |
| KEY WORDS Tibial fractures Fibula Fracture fixation,intramedullary |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林福庆,郭玉祥.TEN弹性髓内钉治疗Pilon骨折并发腓骨骨折[J].中国骨伤,2010,23(2):135~137 |
| 英文格式: | LIN Fu-qing,GUO Yu-xiang.Treatment of Pilon fractures complicated with fractures of fibula with titanic elastic nailing[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):135~137 |
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