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非扩髓带锁髓内钉治疗粉碎性胫腓骨骨折
引用本文:李国山,林宗锦,林峰,翁振,罗元标,张雪梅. 非扩髓带锁髓内钉治疗粉碎性胫腓骨骨折[J]. 临床骨科杂志, 2005, 8(1): 60-61
作者姓名:李国山  林宗锦  林峰  翁振  罗元标  张雪梅
作者单位:福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100;福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100;福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100;福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100;福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100;福建医科大学莆田市第一医院(教学医院)骨科,福建,莆田,351100
摘    要:
目的 总结非扩髓带锁髓内钉治疗粉碎性胫腓骨骨干骨折的临床经验、方法使用非扩髓带锁髓内钉治疗粉碎性胫腓骨骨干骨折47例,其中闭合性骨折36例,开放性骨折11例。结果患行5个月内骨折完全愈合,膝关节、踝关节功能均正常。2例开放性多段骨折患者,术后患肢红肿热痛经切开引流和应用抗生素,感染得到控制。结论 非扩髓带锁髓内钉能有效地稳定胫腓骨粉碎性骨折,减少骨折局部血运的破坏,有利于骨折的愈合。

关 键 词:骨折  粉碎性  胫骨骨折  腓骨骨折  髓内钉  骨折固定术  髓内
文章编号:1008-0287(2005)01-0060-02
修稿时间:2004-05-02

Unreamed interlocking intramedullary nailing in the treatment of comminuted tibiofibular fractures
LI Guo-shan,LIN Zong-jin,LIN Feng,WENG Zhen,LUO Yuan-biao,ZHANG Xue-mei. Unreamed interlocking intramedullary nailing in the treatment of comminuted tibiofibular fractures[J]. Journal of Clinical Orthopaedics, 2005, 8(1): 60-61
Authors:LI Guo-shan  LIN Zong-jin  LIN Feng  WENG Zhen  LUO Yuan-biao  ZHANG Xue-mei
Abstract:
Objective To summarize the experience of using unreamed interlocking intramedullary nails in the treatment of comminuted tibiofibular fractures. Methods 47 comminuted tibiofibular fractures were treated with unreamed interlocking intramedullary nails, which included close fractures (36 cases) and open fractures (11). Results All fractures healed within 5 months and got normal knee and ankle joint functions. 2 cases of open fractures complicated with mild infection and healed after open drainage and antibiotics administration. Conclusions Unreamed interlocking intramedullary nail can be used to treat comminuted tibiofibular diaphyseal fractures effectively. It could reduce impairment of the local blood supply, which is beneficial to fracture healing.
Keywords:fractures   comminuted  tibial fractures  fibular fractures  intramedullary nails  fracture fixation   intramedullary
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