| 克氏针阻挡螺钉技术治疗胫骨干骺端骨折 |
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Received:September 29, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王庆 |
WANG Qing |
宁波市第六医院骨科, 浙江 宁波 315000 |
Department of Orthopaedics, Ningbo No. 6th Hospital, Ningbo 315000, Zhejiang, China |
jxysq@163.com |
| 罗建宁 |
LUO Jian-ning |
宁波市第六医院骨科, 浙江 宁波 315000 |
Department of Orthopaedics, Ningbo No. 6th Hospital, Ningbo 315000, Zhejiang, China |
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| 李欣玻 |
LI Xin-bo |
宁波市第六医院骨科, 浙江 宁波 315000 |
Department of Orthopaedics, Ningbo No. 6th Hospital, Ningbo 315000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年27卷，第12期，第1040-1042页 |
| DOI：10.3969/j.issn.1003-0034.2014.12.016 |
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目的: 探讨采用克氏针作为临时阻挡螺钉结合扩髓交锁髓内钉内固定技术治疗胫骨干骺端(AO 43A)骨折的临床疗效.
方法: 自 2011年3月至2012年6月,采用胫骨交锁髓内钉结合阻挡螺钉(克氏针)技术治疗胫骨干骺端骨折患者9例,其中男7例,女2例;年龄23～54岁,平均37.4岁.术后观察患者的并发症及X线片表现,并于术后12周时采用美国与踝关节协会踝与后足评分(AOFAS)对功能进行评价.
结果: 所有患者术后获随访,时间6～40周,平均20.1周.术后所有伤口Ⅰ期愈合,未发生严重肿胀、感染及皮肤坏死等软组织并发症.术后第4、8周复查X线片未发现骨折不稳定、移位现象.术后12周时AOFAS评分95.2±4.6,优7例,良2例.
结论: 克氏针作为临时阻挡螺钉结合交锁髓内钉对胫骨干骺端骨折的畸形矫正及固定效果良好、方法简单,值得推广. |
| [关键词]:胫骨骨折 骨折固定术,髓内 外科手术 |
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| Kirschner wire as blocking screws for the treatment of tibial metaphyseal fractures |
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Abstract:
Objective: To investigate clinical outcomes of Kirschner wire as blocking screws combined with interlocking intramedullary nail internal fixation in treating tibial metaphyseal fractures(AO 43A).
Methods: From March 2011 to June 2012,9 patients with tibial metaphyseal fractures were treated with blocking screws Kirschner wire combined with interlocking intramedullary nail,including 7 males and 2 females aged from 23 to 54 years old with an average of 37.4. Postoperative complications,X-ray were observed,AOFAS scoring were used to evaluate function after operation at 12 weeks.
Results: All patients were followed up from 6 to 40 weeks(mean 20.1),and healed at stageⅠ. No serious swelling,infection and skin necrosis occurred. No fracture instability and displacement appeaered at 4 and 8 week after operation. AOFAS score was(95.2±4.6) at 12 weeks after operation and 7 patients gained excellent result and 2 patients good.
Conclusion: Kirschner wire as blocking screws with interlocking intramedullary nail for treatment of tibial metaphyseal fractures can fix well and perform simply. |
| KEYWORDS:Tibial fractures Fracture fixation,intramedullary Surgical procedure,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王庆,罗建宁,李欣玻.克氏针阻挡螺钉技术治疗胫骨干骺端骨折[J].中国骨伤,2014,27(12):1040~1042 |
| 英文格式: | WANG Qing,LUO Jian-ning,LI Xin-bo.Kirschner wire as blocking screws for the treatment of tibial metaphyseal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(12):1040~1042 |
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