摘要
目的 观察闭合复位交锁髓内钉治疗胫腓骨骨折的临床效果.方法 88例胫腓骨骨折患者中,38例为开放性骨折.58例采用实心交锁髓内钉治疗,30例采用AO空心交锁钉治疗.所有患者均用C臂X光片明确适合锁定,配套远近端定位器安放锁钉.结果 本组术后膝踝关节平均恢复时间为40天,优良率100%,骨折平均愈合时间9个月.结论 闭合交锁髓内钉固定胫腓骨骨折,切口小,可靠固定,创伤小,操作简单,骨折愈合率高,是治疗此类骨折的首选方法.
Objective To determine the clinical outcomes in treatment of tibial fracture using intra medullary nail. Methods Eighty - eight patients with tibial and fibular fractures were treated using interlocking intra medullary nail after closed reduction, within which 20 patients using solid nail and 68 using hollow nail. All operations were performed under the guide of radiograph. Results All operations were performed successfully, and the mean recover period of the knee and ankle function is 30 days. All the fractures reached clinical union standard after 7 months in average. Conclusion Interlocking intra medullary nail can be used in treatment of tibial and fibular fractures effectively. It can provide strong fixation, protect the soft tissue around the fracture, improve the union rate and reduce the blood loss.
出处
《中外医学研究》
2010年第29期14-15,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
闭合复位
交锁髓内钉
胫腓骨骨折
Intra medullary nail
Tibial and fibular fractures
Clinical outcomes
