克氏针髓腔内固定治疗腓骨下段骨折

Treatment of the distal fibula fractures with intramedullary Kirschner fixation

目的:探讨克氏针髓腔内固定在腓骨下段骨折应用中的效果。方法:回顾分析自2007年4月至2010年6月采用克氏针髓腔内固定治疗的30例腓骨下段骨折患者,男22例,女8例;年龄22～60岁,平均35.6岁;住院天数10～30d,平均15d。骨折类型:横行骨折20例,斜行10例。治疗后根据美国足踝外科协会评分标准对踝关节功能进行评定。结果:30例均获随访,时间3～30个月,平均15.5个月,均骨性愈合,无骨不连及感染,无腓浅神经损伤。按照美国足踝外科协会评分标准,患者疼痛(39.0±4.0)分,踝关节功能(47.1±2.1)分,骨折力线(10.00±0.00)分,总分(96.1±4.3)分;优28例,良2例。结论:克氏针髓腔内固定法手术操作简单,安全,创伤小,可以减轻患者的经济负担,值得临床及基层医院推广。

Objectecfive： To analyze the clinical effects of intramedullary fixation of Kirschner pin for the treatment of distal fibula fractures. Methods：From April 2007 to June 2010,thirty patients with the distal fibula fractures were treated with intramedullary fixation of Kirschner pin. There were 22 males and 8 females with an average age of 35.6 years old （22 to 60 years ）, length of hospital stay was 10 to 30 days （means 15.8 days）. There were 20 cases of Transverse fracture and 10 cases of oblique fracture. Evaluation of the function of the ankle joint is based on the American Orthopaedic Foot and Ankle Society （AOFAS） standard evaluation systems. Results ：All the cases were followed up. The mean followed-up time was 15.5 months （3 to 30 months）. All fractures were bone healed, no case suffered infection and nonunion, no case suffered nervus fibularis superficialis injury. According to the AOFAS （American Orthopaedic Foot and Ankle Society ）evaluation systems, the total scores after operation was 96.1±4.3 （the pain was 39.0±4.0, the fracture force line was 10, the function was 47.1±2.1. Twenty-eight patients obtained excellent results, 2 good. Conclusion： This method can be easily operated with the advantages of less pain and safety. It can effectively attenuate the financial burden of the patients. Thus worth being popularized in clinicic and basic level hospital.