经皮穿针内固定技术治疗四肢骨折的临床价值研究

Clinical value of percutaneous needle internal fixation technology in the treatment of limb fractures

目的探讨经皮穿针内固定技术在治疗四肢骨折中的临床价值。方法498例四肢骨折患者均行经皮穿针内固定治疗，观察骨折临床愈合时间并进行功能评定。结果498例均获得随访，平均随访时间（11±2.1）个月（6个月~20个月）。X线片显示，骨折全部Ⅰ期愈合，所有病例均无感染、骨不连等并发症发生。骨折愈合平均时间（6.9±1.8）个月，预后优良率为95.58%。结论经皮穿针内固定技术治疗四肢骨折符合生物力学固定（BO）原则，内固定牢靠，有利于骨折的愈合及软组织修复。特别对于儿童骨折、成人简单骨折的治疗与其他内固定方法相比较具有明显优势。

Objective To explore the clinical value of percutaneous needle internal fixation technology in the treatment of limb fractures.Methods 498 patients with limb fractures were treated by percutaneous needle internal fixation,and the healing time was observed and the function was evaluated.Results all 498 patients were followed and the average follow-up time was （11±2.1）months （6~20 months）.X-ray film showed that,the fractures were healed completely in phase-I,and all patients had no infection,non-union or other complications.The average time of healing was （6.9±1.8）months,the good rate of prognosis was 95.58%.Conclusion The treatment by percutaneous needle internal fixation technology for four limbs fractures met biomechanics fixation principle, the internal fixation was stable and conducive to healing of fractures and recovery of soft tissue.Especially for the treatment of children fractures and adult simple fractures,it had obvious advantages compared with other internal fixation methods.