带锁髓内钉内固定治疗胫骨骨折(附115例报告)

A clinical analysis of 115 cases of tibia fracture treated with interlocking intramedullary nail fixation.

目的探讨带锁髓内钉治疗胫骨骨折的临床疗效。方法回顾性分析采用带锁髓内钉治疗胫骨骨折115例临床资料。结果随访时间6～18个月，平均随访11个月。骨折全部愈合，骨折平均愈合时间16周。最终结果评分采用Johner-wruh评分标准，优95例（82．6％），良11例（9．5％），中8例（7％），差1例（0．9％）。结论带锁髓内钉内固定治疗胫骨骨折具有手术切口小，组织损伤小，弹性固定，能早期活动，并发症少等优点，应用越来越广泛。

Ohjective To discuss clinical effect of interlocking intramedullary nail fixation in the treatment of tibia fracture. Methods To analyze 115 patients of tibia fracture treated with interlocking intramedullary nail fixation retrospectively. Results All patients were followed for 6 to 18 months （ 11 months in average ）. Complete bone union was achieved in all patients, average in 16 weeks. According to the Johner - wruh criterion, 95 cases were evaluated as excellent （82.6%）, 11 cases as good （9.5%）, 8 cases as fair （7%） and 1 case as poor （0.9%）. ConcluslonInterlocking intramedullary nail firxation can fix tibia fracture with little invasion and complication, as well as flexible fixation and earlier limb initiative exercise.