钛制弹性髓内钉治疗儿童闭合性胫腓骨干骨折观察

目的探讨钛制弹性髓内钉对于治疗儿童闭合性胫腓骨骨折的临床疗效，分析弹性髓内钉治疗的优缺点。方法gt2010年9月至2015年9P]应用钛制弹性髓内钉治疗儿童胫腓骨骨折38例进行随诊。结果38例儿童应用钛制弹性髓内钉治疗的胫腓骨骨折患者均获得随诊。平均手术时间30min（15-45min）；术后住院日：平均5天（4-10天）；骨折愈合时间：平均12周（10—16周），38例均骨性愈合，1例术后出现激惹现象，拔出髓内钉后恢复，1例拔钉后出现感染，予抗炎对症治疗后恢复，无骨不连及畸形愈合，无功能障碍者，无血管、神经损伤者。结论钛制弹性髓内钉治疗儿童闭合性胫腓骨干骨折具有瘢痕小、微创操作、固定牢固、并发症少等优点，是一种安全、有效的治疗方法，值得推广。

Objective To explore the clinical efficacy of titanium elastic intramedullary nail in the treatment of children with closed tibial and fibular fractures, and analyze the advantages and disadvantages of elastic intramedullary nail. Methods 38 cases of tibia and fibula fractures in children from September 2010 to September 2015 were performed with titanium elastic intramedullary nail. Results 38 cases of children with titanium elastic intramedullary nail treatment of tibia and fibula fractures were obtained follow-up. Mean operation time： 30 minutes （ 15 to 45 minutes ） ; postoperative hospital stay： an average of 5 days （4 to 10 days ） ; fracture healing time： an average of 12 weeks （ 10 to 16 weeks ） , 38 cases of bone healing, 1 case of postoperative irritation, withdrawal of intramedullary nail after recovery. One patient received an infection after removing the internal fixation, finally recovered after anti-inflammatory symptomatic treatment. No bone nonunion, malunion, dysfunction, blood vessels, nerves and damage was found. Conclusion Titanium-based elastic intramedullary nail is a safe and effective treatment for children with closed tibiofibular fractures. It has the advantages of scar small, minimally invasive operation, firm fixation and less complication. It is worthy of promotion.