膨胀型髓内钉Fixion系统治疗胫骨干骨折临床体会

The Application of Expandable Intramedullary Nail System Fixion For Treatment of Tibia Fracture

目的：探讨膨胀型髓内钉Fixion系统在治疗胫骨干骨折中的应用,观察其治疗效果。方法：本组胫骨干骨折47例,采用膨胀型髓内钉顺行插入,9例行闭合复位,38例行切开复位。结果：经术后随访5-14个月,骨折均愈合,平均愈合时间16周;膝踝关节活动基本正常,根据Johner-wruch标准,本组病例优23例,良19例,中5例。结论：膨胀型髓内钉依髓腔解剖特点呈沙漏样固定,应力分布更为均匀,节省了锁钉的操作,缩短了手术时间,不破坏或最小限度破坏骨折端骨膜及血运,防止骨折缩短、旋转畸形,有利于骨折愈合,功能恢复好。

Objective： To report the technique and result of expandable intramedullary nail Fixion for tibia fractures . Methods： forty - seven tibia fractures were treated with expandable intramedullary nail. There were 9 closed and 38 opened reduction. Results： after 5 - 14 months follow - up , according to Johner - wruch＇ s score ,23 cases were excellent, 19 cases were good, 5 cases were permitted, All of fractures healed up. Conclusion： expandable intramedullary nail system Fixion for tibia fracture has advantages of the easier operation,firm fixation and the high healedup rates.