Ender钉在胫骨多段骨折交锁髓内钉固定术中的应用

Application of Ender Nail to Treatment of Multiple Segmental Fracture of the Tibia with Interlocking Intramedullary Nail

目的：介绍Ender钉在胫骨多段骨折交锁髓内钉固定术中的应用。方法：自2003年9月～2004年9月共收治胫骨多段骨折18例。以Ender钉撬拨间接闭合复位，交锁髓内钉固定术，随访3～5个月，平均4个月。结果：全部病例均临床愈合，无感染，骨不连，断钉等，膝，踝关节活动正常。结论：Ender钉间接闭合复位在胫骨多段骨折交锁钉内固定术中是一种较为理想的复位方法。

Objective：To present one of methods of closed reduction in treatment of multiple segmental fracture of the tibia with interlocking intramedullary nail. Methods： From September 2003 to September 2004,18 cases of multiple segmental fracture of tibia were treated . All cases underwent closed reduction with Ender nail and were fixed with interlocking intramedullary nail. Each case was followed up for the average of 4 months （ranging from 3 to 5 months） . Results： All fractures healed in average of 3.5 monthsfranging from 2.5 to 4.5 mnoths ）. No infection and malunion or nonunion occurred in all cases. No locking screw and nail was loosen or broken . The function of knee and ankle joint were normal. Conclusion： The method of closed reduction with Ender nail in treatment of multiple segmental fracture of tibia with interlocking intramedullary nail is suitable .