TEN弹性髓内钉治疗Pilon骨折并发腓骨骨折
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作者Author单位AddressE-Mail
林福庆 LIN Fu-qing 南京市六合区人民医院骨2科,江苏 南京 211500 Nanjing Luhe People's Hospital,Nanjing 211500,Jiangshu,China  
郭玉祥 GUO Yu-xiang 南京市六合区人民医院骨2科,江苏 南京 211500 Nanjing Luhe People's Hospital,Nanjing 211500,Jiangshu,China  
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:
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
 
Treatment of Pilon fractures complicated with fractures of fibula with titanic elastic nailing
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
 
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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