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胫骨开放骨折不扩髓交锁髓内钉与外固定支架治疗比较

Hits: 2056 Download times: 1342 Received:December 02, 1998 Revised:April 13, 1999

作者	Author	单位	Unit	E-Mail
江敞	JIANG Chang	温岭市中医院,浙江温岭317500	Wenling Hospital of TCM,Zhejiang Province Zhejiang Wenling 317500
唐明杰	TANG Ming jie	上海市第六人民医院,上海　200233
施忠民	SHI Zhong min	上海市第六人民医院,上海　200233

期刊信息：《中国骨伤》2000年13卷，第1期，第14-15页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:对比外固定支架与不扩髓交锁髓内钉对胫骨Ⅲ型B开放骨折的治疗结果。

方法:33例胫骨Ⅲ型B开放骨折的患者,随机分为两个治疗组,17例采用外固定支架,16例采用髓内钉固定,进行疗效对比分析。

结果:髓内钉组的感染率、不良愈合率、不愈合率及愈合时间均低于支架组,且前者更容易护理,二期创面处理更方便。

结论:我们认为不扩髓交锁髓内钉较之外固定支架更适用于Ⅲ型B胫骨开放骨折。

[关键词]:胫骨开放骨折外固定支架髓内钉

Treatment of Open Tibial Fractures:Comparison of Non reamed Interlocking Intramedullary Nail and External Fixator

Abstract:

Objective:To compare the treatment results of non reamed interlocking intramedullary nail and external fixator in Grade Ⅲ B open tibial fractures.

Methods:Of 33 cases,17 were treated with external fixator;16 were treated with non reamed interlocking intramedullary nails.

Results:The nailed group have advantage over the external fixed group as follows:lower rate of infection,delayed union and nonunion;short time of healing;easier care;easier management of the wound.

Conclusion:Compared with external fixation,non reamed interlocking intramedullary nail is more suitable for the treatment of Grade Ⅲ B open tibial fracture.

KEYWORDS:Open tibial fracture External fixator Intramedullary nail

引用本文，请按以下格式著录参考文献：

中文格式:	江敞,唐明杰,施忠民.胫骨开放骨折不扩髓交锁髓内钉与外固定支架治疗比较[J].中国骨伤,2000,13(1):14~15
英文格式:	JIANG Chang,TANG Ming jie,SHI Zhong min.Treatment of Open Tibial Fractures:Comparison of Non reamed Interlocking Intramedullary Nail and External Fixator[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(1):14~15

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