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加压交锁髓内钉治疗胫骨骨折23例
Hits: 1837   Download times: 1155   Received:June 02, 2003    
作者Author单位UnitE-Mail
高堂成 GAO Tang cheng 第二军医大学长海医院骨科,上海200433 Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University  
张春才 ZHANG Chun cai 第二军医大学长海医院骨科,上海200433 Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University  
王家林 WANG Jia lin 第二军医大学长海医院骨科,上海200433 Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University  
许硕贵 XU Shuo gui 第二军医大学长海医院骨科,上海200433 Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University  
沈洪兴 SHEN Hong xing 第二军医大学长海医院骨科,上海200433 Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University  
期刊信息:《中国骨伤》2004年17卷,第6期,第346-348页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨加压交锁髓内钉特点及其在治疗胫骨干骨折中的应用。

方法:对23例胫骨干骨折的治疗作回顾性分析。根据AO/ASIF分类,A型骨折5例,B型骨折11例,C型骨折7例。闭合骨折18例,开放骨折5例。均在透视下行闭合复位、加压交锁髓内钉内固定术。

结果:23例均获随访,平均17个月(3~26个月)。采用JohnerWruh评分标准判定治疗效果,优14例,良7例,中1例,差1例,优良率为91.3%。无感染、无断钉和骨不连。

结论:胫骨加压交锁髓内钉具有3种工作状态,分别适用于不同类型的胫骨干骨折,是治疗胫骨干骨折的一种较好的内固定方法,值得临床推广应用。
[关键词]:胫骨骨折  骨折固定术,内  回顾性研究
 
Application of interlocking compression nailing system in the treatment of fracture of tibial shaft
Abstract:

Objective:To explore the clinical application of interlocking compression nailing system(IC Nailing System)in the treatment of tibial shaft fractures.

Methods:A retrospective analysis was done in the treatment of tibial shaft fractures.According to classification of AO/ASIF,type A occurred in 5 cases,type B 11 cases,and type C 7 cases.Among 23 cases,18 were closed fractures and 5 were open fractures.All cases were treated with closed reduction and IC Nailing System under X ray.

Results:All cases were followed up from 3 to 26 months(17 months in average),and were evaluated,according to the criteria of Johner and Wruh.The results showed excellent in 14,good in 7,fair in 1,and bad in 1,without infection,nonunion or nailing broken.

Conclusion:With three kinds of employment state,IC Nailing System can be used in various types of tibial shaft fractures accordingly.Together with closed reduction under X ray,it is worthy of wide application in clinic.
KEYWORDS:Tibial fractures  Fracture fixation,internal  Retrospective studies
 
引用本文,请按以下格式著录参考文献:
中文格式:高堂成,张春才,王家林,许硕贵,沈洪兴.加压交锁髓内钉治疗胫骨骨折23例[J].中国骨伤,2004,17(6):346~348
英文格式:GAO Tang cheng,ZHANG Chun cai,WANG Jia lin,XU Shuo gui,SHEN Hong xing.Application of interlocking compression nailing system in the treatment of fracture of tibial shaft[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(6):346~348
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