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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: 1926   Download times: 1255   Received:December 02, 1998  Revised:April 13, 1999  
作者Author单位UnitE-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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