| 矩形髓内钉治疗胫骨多段骨折18例疗效分析 |
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Received:December 24, 1999 Revised:April 29, 2000
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| 期刊信息：《中国骨伤》2001年14卷，第4期，第195-197页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨矩形髓内钉治疗胫骨多段骨折的临床效果。
方法：对18例胫骨多段骨折采用矩形髓内钉治疗的临床资料进行分析和平均36年随访。本组闭合骨折7例、开放骨折11例；骨折位于Ⅲ区2例、Ⅳ区2例、Ⅲ～Ⅳ区13例、Ⅲ～Ⅳ～Ⅴ区1例。
结果：按JohnerWruh评分标准：本组优10例,良6例,中2例。骨折临床愈合时间平均18周(12～52周).2例软组织感染,其中1例深部感染并骨折延迟愈合。无术后继发性骨筋膜室综合征、神经损伤、内固定器材破坏等情况。
结论：该治疗方式对骨折端的血循环干扰小以及有利于早期下床和负重锻炼,是治疗胫骨多段骨折较为理想的手段之一,但对涉及Ⅱ区近端和Ⅴ区远端骨折不宜采用此术式。 |
| [关键词]:骨折固定术 髓内 创伤 多处 骨折 |
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| Reviewuation of Rectangle shape Intramedullary Nail on Multi-fractures of the Tibia Shaft |
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Abstract:
Objective: To investigate the clinical effect of rectangle shape intramedullary nail on multi fractures of the tibia shaft.
Methods: 18 cases of multi fractures of the tibia shaft were treated with rectangle shape intramedullary nail and followed up for an average of 3 6 years.There were 7 close fractures and 11 open fractures.2 fractures occurred at the Ⅲ regin,2 at Ⅳ,13 at Ⅲ～Ⅳ and 1 at Ⅲ～Ⅳ～Ⅴ.
Results:The final outcome of 15 patients were reviewuated according to the criteria of Johner and Wruh.10 had excellent results,6 good,2 poor.The mean period of fracture healing was 18 weeks(12～52).1 patient with infection had delay union and there were no post operative compartment syndrome,neuarological deficits nor implant failure.
Conclusion: Rectangle shape intrmedullary nail fixation should be recommended for the treatment of multi fractures of the tibia shaft,the manipulation is easy with minimal interference with blood supply of the fractured fragments,early mobilization and weight bearing can be instituted.However,this method should not be recommend for distal fractures in Ⅱ and Ⅴ region. |
| KEYWORDS:Fracture fixation intramedullary Multiple trauma Fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 项良碧,龚旭生,祖启明,曹艳.矩形髓内钉治疗胫骨多段骨折18例疗效分析[J].中国骨伤,2001,14(4):195~197 |
| 英文格式: | XIANG Liang bi,GONG Xu sheng,ZU Qi ming,XIANG Liang bi.Reviewuation of Rectangle shape Intramedullary Nail on Multi-fractures of the Tibia Shaft[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(4):195~197 |
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