闭合复位胫骨交锁钉治疗胫骨下段粉碎性骨折

Treatment of distal tibial comminuted fractures with closed reduction and interlocking nail

目的探讨闭合复位胫骨交锁钉治疗胫骨下段粉碎性骨折的疗效．方法采用闭合复位胫骨交锁钉治疗胫骨下段粉碎性骨折患者22例。结果22例随访6-23个月，骨折愈合时间为3～9个月，平均4．3个月，按Johner-Wruh评分标准：优12例，良9例．可1例。结论闭合复位胫骨交锁钉治疗胫骨下段粉碎性骨折提高了骨折愈合率．减少了手术并发症。

Objective To investigate the effect of distal tibial comminuted fractures treated with closed reduction and interlocking nail. Methods 22 patientes who suffered from tibial comminuted fractures at lower segment were taken treatment with this method. Results Arier 6 - 23 months follow-up, all palieots had been healed up after 3 - 9 months, average of 4.3 months. And outcomes were evaluated aeeording to the criteria of Johner-Wruh,abd the resuets were excellent in 12,good in 9,and poor in 1. Conclusions Closed reduetion and interlocking nailing for dislal tibial comminuted fractures can improve the rate of bone union and reduce complications of operation.