胫骨骨折的交锁髓内钉治疗

Fractures of the Tibia Treated with a Interlocking Intramedullary Nail

目的 :观察交锁髓内钉在胫骨骨折中的治疗效果。方法 :1997年 2月～ 2 0 0 0年 2月对 37例胫骨骨折采用交锁髓内钉治疗 ,男 30例 ,女 7例 ,年龄 18～ 6 5岁 ,闭合性骨折 2 8例 ,开放性骨折 6例 ,陈旧性骨折 2例 ,胫骨骨不连 1例 ,开放性骨折采用非扩髓髓内钉 ,闭合性骨折采用扩髓髓内钉。结果 :37例得到随访 ,骨折全部愈合 ,无锁钉及髓内钉松动、断裂 ,膝踝关节功能正常 ,迟发性感染 1例。结论 :交锁髓内钉在治疗胫骨骨折中具有创伤小、固定坚强、骨折愈合率高、能早期活动、感染率低等优点 ,是一种较好的内固定方法。

Objective: To observe the application effect of intramedullary interlocking nail in the treatment of tibial fracture.Method:37 cases of tibial fracture treated by interlocking nails from Feb.1997 to Feb.2000 were reviewed.Male 30,female 7,aged from 18 to 65.Close fracture 28,open 6,old fracture 2,non union of tibia 1.Open fractures using unreamed nails and close fractures using reamed nails.Result:All cases were followed up.All fractures healed.No locking screw and nail loosen or broken.All function of knee and ankle joint were normal.One case of infection happened 5 months after operation.Conclusion:The application of intramedullary interlocking nail in the treatment of tibial fracture has advantages of less trauma,strong fixation,high healing rate,early motion can be obtained and low infection rate.