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改良梅花髓内针治疗胫腓骨骨折的疗效评价
Hits: 1953   Download times: 1149   Received:April 03, 2001    
作者Author单位UnitE-Mail
明立功 MING Li-gong 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明新杰 MING Xin-jie 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明新广 MING Xin-guang 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明立德 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
张全金 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
期刊信息:《中国骨伤》2002年15卷,第4期,第202-203页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:分析改良梅花髓内针治疗胚胖骨骨折的可行性。

方法:自1993年7月~2000年5月,我院应用改良梅花髓内针治疗226例腔胖骨骨折,并对其骨折的类型、手术方法、术后处理及疗效进行总结和分析。

结果:180例获得随访,随访时间6个月~6年,平均26个月,除9例延迟愈合,2例不愈合外,余均正常骨性愈合,按JohnerwrUh评分标准,优125例,良40例,中12例,差3例,优良率gi石%。

结论:该方法具有创伤小、固定可靠、应力遮挡小、可有效地抗旋转作用等优点,其生物力学特性适合胚骨骨折愈合的需要。
[关键词]:胫骨骨折  骨折固定术  髓内  骨折愈合
 
Treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail
Abstract:

Objective:study the treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail

Methods:From 1993. 7 to 2000. 5,226 cases of fracture of tibia and fibula were treated with modified cloverleaf type intramedullary nail and the fracture type, operative method, postoperative man-agement and clinical Results of the cases were analysed.

Results:180 cases were followed up from 6 months to 6 years, with an average of 26 months. All the cases had normal bony union except 9 cases of delayed union and 2 of non-union. According to Johner-Wruh’s grading standard, excellent results were obtained in 125 cases, good in 40, fair in 12 and poor in 3, with excellent and good ratio of 91.6%.

Conclusion: This treatment method is of merits of minimal incision,stable fixation,small stress shielding,effective in resisting rotation and its biomechanic characteristics meet the requirement of tibia fracture union.
KEYWORDS:Tibial fracture  Fracture fixation,intramedullary  Fracture healing
 
引用本文,请按以下格式著录参考文献:
中文格式:明立功,明新杰,明新广,明立德,张全金.改良梅花髓内针治疗胫腓骨骨折的疗效评价[J].中国骨伤,2002,15(4):202~203
英文格式:MING Li-gong,MING Xin-jie,MING Xin-guang.Treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(4):202~203
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