带锁髓内钉治疗粉碎性胫骨骨折28例体会

Comminuted Fractures of the Tibia Treated with Intramedullary Interlocking Nail (A Report of 28 Cases)

目的 回顾性分析带锁髓内钉治疗粉碎性胫骨骨折的疗效。 方法 带锁髓内钉治疗粉碎性胫骨骨折 2 8例 ,其中闭合性骨折 18例 ,开放性骨折 10例。闭合性骨折术中均扩髓 ,开放性骨折均不扩髓 ,全部骨折采用静力性固定。 结果 18例闭合性骨折平均愈合时间 15 .8周 ,10例开放性骨折平均愈合时间 2 1.2周。 结论 带锁髓内钉治疗粉碎性胫骨骨折采用闭合复位和早期静力性固定 ,既有利于骨折的早期愈合和患者早期的床上功能锻炼 ,同时也具有手术操作方便 。

Objective To analyze the operative procedure and effect of comminuted fractures of the tibia treated with intramedullary interlocking nail. Methods 28 comminuted fractures of the tibia treated with intramedullary interlocking nail were reviewed. 18 cases were of closed fractures and 10 of the opened. Closed fractures were treated with reamed interlocking nail while open fractuers were treated with unreamed interlocking nail and all fractures used static fixation. Results All patients were followed up for an average of 11.4 months(6～19 months). The time for fracture union averaged 15.8 weeks in closed fractures and 21.2 weeks in open fractures. 12 closed fractures and 6 open fractures were operated within 8 hours after injuryed. Conclusion For comminuted fractures of the tibia treated with intramedullary interlocking nail,closed reduction and static fixation can lead to earlier union of fractures and functional exercise, with simple procedure during operation and blood supply reserved, less complications occurr.