髓内扩张自锁钉治疗胫腓骨骨折的临床观察

Clinical observation on the treatment of tibia-fibula fracture using intramedullary expand self-locking nail

目的观察髓内扩张自锁钉治疗胫腓骨骨折的疗效。方法本组胫腓骨骨折51例,横断或短斜形骨折采用闭合植入法,粉碎性骨折采用髓内扩张自锁钉辅以钢丝绑扎法。结果获随访49例,时间6-12月全部骨性愈合,愈合时间3-5个月。结论髓内扩张自锁钉操作简单,固定牢固,无应力遮挡及集中现象,骨折愈合时间短,愈合率高,为治疗胫腓骨骨折的一种理想方法。

Objective To observe the effect of intramedullary expand self-locking nail （IESN） on the treatment of tibia-fibula fracture. Methods There were 51 patients with tibia-fibula fracture in this group. Closed implantation was used for the taverse or short-tilied fracture, and IESN with steel-wire binding for the comminuted fracture. Results 49 cases were followed up for 6-12 months, and all showed bony union within 3-5 months. Conclusion IESN is an ideal internal fixerwith simple operation, solid fixation, without stress concentration, and high rate of bony union with short time needed.