《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 983-984.

• 临床观察 • 上一篇    下一篇

可膨胀交锁髓内钉不扩髓治疗胫骨近端骨折31例

张开放; 李政; 阎宏伟; 姚永锋; 刘涛   

  1. 西安交通大学医学院第二附属医院骨科,陕西西安市 710004
  • 收稿日期:2008-03-18 出版日期:2008-10-01 发布日期:2008-10-01

Expandable Intramedullary Nail in Unreamed Treatment of 31 Patients with Proximate Tibia Fracture

ZHANG Kai-fang, LI Zheng, YAN Hong-wei, et al   

  1. The Department of Orthopaedics, No.2nd Hospital Affiliated to Xi'an Jiaotong University, Xi 'an 710004, Shaanxi, China
  • Received:2008-03-18 Published:2008-10-01 Online:2008-10-01

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被引次数

1

摘要： 目的评价可膨胀交锁髓内钉不扩髓治疗胫骨近端骨折的临床疗效。方法使用可膨胀交锁髓内钉不扩髓治疗胫骨近端骨折31例,其中开放性骨折4例、闭合性骨折27例;AO/ASIF分类A型16例、B型4例、C型11例。随访时间9个月～5年,平均2年。结果30例患者骨折愈合,功能恢复良好,疗效满意;1例多发性粉碎性骨折患者延迟愈合。结论可膨胀交锁髓内钉是治疗胫骨近端骨折有效且满意的内固定方法。

关键词: 交锁髓内钉, 胫骨骨折, 内固定术, 不扩髓

Abstract: Objective To evaluate clinical effect of expandable intramedullary nail in unreamed treatment of tibia fracture.Methods 31 patients with proximate tibia fracture were treated with expandable intramedullary nail and unreamed.Among those patients,4 cases were compound fracture,27 cases were closed fracture;16 cases were AO/ASIF type A,4 cases were type B and 11 cases were type C.The following-up of 9 months to 5 years(average 2 years) performed after operation.Results The fractures of 30 patients healed up and patients' functions recovered.1 case with comminuted and multiple fracture got delayed union.Conclusion Expandable intramedullary nail is an utility and satisfactory method to treat proximate tibia fracture.

Key words: intramedullary nail, tibia fracture, internal fixation, unreamed