带锁髓内钉治疗成人胫骨远端骨折的疗效与前景

The Curative Effect and Prospect of Interlocking Intramedullary Nails in the Treatment of Adult Distal Tibia Fractures

胫骨远端骨折历来是骨科治疗的难题。胫骨位于皮下,软组织覆盖少,高能量损伤致骨折的同时多伴有广泛的皮肤软组织损伤;加之局部血液循环差,易发生局部皮肤缺损、缺血坏死、骨外露、骨髓炎等并发症,所以钉板系统一直在该类骨折治疗中占据主导地位。带锁髓内钉具有可闭合复位、手术创伤小、固定坚强等优点,现已成为治疗胫骨远端骨折的有效方法。该文就带锁髓内钉治疗成人胫骨远端骨折的疗效与前景两方面进行综述。

Distal tibia fracture has always been a puzzler of orthopaedic treatment. Located under the skin, tibia is covered with limited soft tissue, and high energy damaged fracture is frequently accompanied with a wide range of skin and soft tissue injury at the same time. Together with the poor local blood supply, complications such as local skin defect, ischemic necrosis, bone exposure and osteomyelitis are contingent, so screw plate system has been the dominant treatment for fracture. Because of advantages such as closed reduc- tion,minimal surgical invasion, stable fixation etc. , interlocking intramedullary nails have now become an effective method of treatment of distal tibia fractures. Here is to make a review of the curative effect and pros- pect of interlocking intramedullary nails in the treatment of adult distal tibia fractures.