| 带锁髓内钉内固定与骨牵引治疗胫腓骨骨折疗效比较 |
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Received:September 15, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘维嘉 |
LIU Wei-jia |
北海市中医院骨科,广西 北海 536000 |
Department of Orthopaedics,Traditional Chinese Medical Hospital of Beihai,Beihai 536000,Guangxi,China |
LWJ5568@126.com |
| 麦敏军 |
MAI Min-jun |
北海市中医院骨科,广西 北海 536000 |
Department of Orthopaedics,Traditional Chinese Medical Hospital of Beihai,Beihai 536000,Guangxi,China |
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| 刘永坤 |
LIU Yong-kun |
北海市中医院骨科,广西 北海 536000 |
Department of Orthopaedics,Traditional Chinese Medical Hospital of Beihai,Beihai 536000,Guangxi,China |
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| 高根平 |
GAO Gen-ping |
北海市中医院骨科,广西 北海 536000 |
Department of Orthopaedics,Traditional Chinese Medical Hospital of Beihai,Beihai 536000,Guangxi,China |
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| 期刊信息：《中国骨伤》2010年23卷，第1期，第9-11页 |
| DOI：10.3969/j.issn.1003-0034.2010.01.003 |
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目的：通过对比带锁髓内钉内固定与骨牵引治疗胫腓骨骨折的4项临床结果，评价两种治疗方法优劣，为胫骨骨折治疗提供选择依据。
方法：1989年11月至2000年12月应用骨牵引方法治疗胫腓骨骨折(A组)108例，男76例，女32例；年龄29～66岁，平均(40.3±9.6)岁。按AO标准分型：A型48例，B型46例，C型14例；其中Gustio标准分型，Ⅰ型15例，Ⅱ型13例，ⅢA型2例。2001年1月至2007年7月应用带锁髓内钉内固定治疗胫腓骨骨折(B组)57例，男40例，女17例；年龄21～69岁，平均(38.1±8.9)岁。按AO标准分型：A型27例，B型22例，C型8例；其中Gustio标准分型，Ⅰ型7例，Ⅱ型6例，ⅢA型1例。对两组的骨折愈合时间、关节屈膝活动度达到90°的时间、下床负重时间、并发症等4个方面进行比较。
结果：骨折愈合时间A组平均(19.0±0.6)周，B组平均(14.0±0.5)周；关节活动度达到90°的时间A组平均(92.0±8.2) d,B组平均(39.0±6.1) d;下床负重时间A组平均(96.0±6.3) d,B组平均(38.0±6.5) d;并发症A组42例，B组6例，两组4项临床结果比较差异均有统计学意义，带锁髓内钉内固定治疗的效果优于骨牵引方法治疗。
结论：应用带锁髓内钉内固定治疗胫腓骨骨折，并发症少，并有利于骨折早期愈合和负重锻炼。 |
| [关键词]:胫骨骨折 腓骨骨折 骨折固定术，髓内 骨牵引复位法 小夹板固定 |
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| Comparison of clinical effects between locking intramedullary nail fixation and skeletal traction in treating tibiofibula fractures |
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Abstract:
Objective: To compare and evaluate clinical effects between locking intramedullary nail fixation and skeletal traction in order to provide the best therapeutic choice for tibiofibula fractures.
Methods: From November 1989 to December 2000,108 patients with tibiofibula fractures (group A) were treated with skeletal traction,there was 76 males and 32 females; the age was from 29 to 66 years with an average of (40.3±9.6) years;according to AO classification standard,48 cases were type A,46 type B,14 type C,of which the standard typing Gustio,typeⅠin 15 cases,typeⅡ in 13,typeⅢA in 2. And from January 2001 to July 2007,57 patients with tibiofibula fractures(group B) were treated with locking intramedullary nail fixation,there was 40 males and 17 females,the age was from 21 to 69 years with an average of (38.1 ± 8.9) years;according to AO classification standard,27 cases were type A,22 type B,8 type C,of which the standard typing Gustio,typeⅠin 7 cases, typeⅡin 6,typeⅢA in 1. Four indexes were compared,including the time of fracture healing,the time of achieved 90° genuflection,the time of off-bed weight-bearing and complication.
Results: Comparison of fracture healing time:group A was(19.0 ±0.6) weeks and group B was(14.0±0.5) weeks;the time of achieved 90°genuflection in group A was(92.0±8.2) d and in group B was(39.0±6.1) d;the time of off-bed weight-bearing in group A was(96.0±6.3) d and in group B was(38.0±6.5) d. Complication occurred in 42 cases in group A and 6 in group B. There was significantly difference in 4 items between two groups(P<0.01). The method of locking intramedullary nail fixation was better than skeletal traction in treating tibiofibula fractures.
Conclusion: Treatment of tibiaofibula fractures with locking intramedullary nail fixation can obtain satisfactory effect,which has less complication,the fracture heals and weigh-loading can be achieved early. |
| KEYWORDS:Tibial fractures Fibular fractures Fracture fixation,intramedullary Skeletal traction reposition Small splint fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘维嘉,麦敏军,刘永坤,高根平.带锁髓内钉内固定与骨牵引治疗胫腓骨骨折疗效比较[J].中国骨伤,2010,23(1):9~11 |
| 英文格式: | LIU Wei-jia,MAI Min-jun,LIU Yong-kun,GAO Gen-ping.Comparison of clinical effects between locking intramedullary nail fixation and skeletal traction in treating tibiofibula fractures[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(1):9~11 |
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