非扩髓带锁髓内针治疗胫腓骨骨折

Unreamed interlocking intra medullary nailing in treating tibial and fiblular fractures

目的总结使用非扩髓带锁髓内针治疗胫腓骨骨折的临床经验，提高胫腓骨骨折的治疗水平。方法１９９５年１１月～１９９７年４月使用非扩髓带锁髓内针治疗胫腓骨骨折５４例，其中开放性骨折９例，闭合性骨折４５例。结果患者６个月内骨折全部愈合，膝、踝关节功能均恢复正常。１例开放性骨折患者发生轻度术后感染，１例术后腓总神经不全损伤。结论带锁髓内针可有效地稳定骨折，减少骨折局部软组织及血运的破坏。

Objective To report the experience in the use of unreamed interlocking intramedullary nails. Method From 1995 to 1997,54 tibial and fibular fractures were treated with unreamed interlocking intramedullary nails they included open fractures (9 cases) and close fractures (45). Result All fractures healed within 6 months and showed good knee and ankle joint functions. Slight postoperation infection was found in one of the open fractures. Incomplete injury of peroneal nerve was noted in 1 case.Conclusion Unreamed interlocking intramedullary nail can be used to treat diaphyseal fractures effectively.It can protect the soft tissue envelope around the fracture and prerent local blood supply from further damaginge.