旋入式髓内针内固定治疗胫骨中段骨折13例

目的观察开放复位旋入式髓内针内固定治疗胫骨中段骨折的疗效。方法选择2009年5月至2011年5月胫骨中段骨折患者13例,采用开放复位旋入式髓内针内固定对其进行治疗,并随访6～9个月,观察临床疗效。结果 13例均达骨性愈合,膝踝关节活动范围正常;优11例,良2例,优良率100%。无髓内针断裂、松动、变形等并发症。结论采用开放复位旋入式髓内针内固定治疗胫骨中段骨折是一种简便易行的手术方法。

Clinical effect of internal fixation of screw intramedullary nail in the treatment of midshaft tibia fracture: report of 13 cases.

Objective To observe the clinical effect of open reduction and internal fixation of screw intramedullary nail in the treatment of midshaft tibia fracture. Methods Thirteen cases of midshaft tibia fracture were treated with open reduction and internal fixation of intramedullary nail surgery. The patients were followed up for 6 to 9 months after surgery. Results All of the 13 eases reached osseous healing. The range of knee joint motion and the range of ankle joint motion were all normal. The rate of excellent and good was 100% （ excellent in 11 cases and good in 2 cases）. Conclusion Open reduction and internal fixation of intramedullary nail is a simple and feasible operation for the treatment of mid- shaft tibia fracture.