鞘剑式锁尾弹性髓内钉的研制和临床应用

目的探讨鞘剑式锁尾弹性髓内钉闭合穿钉治疗胫腓骨和肱骨骨折的临床内固定效果.方法鞘剑锁尾弹性髓内钉闭合穿钉内固定治疗胫腓骨和肱骨骨折42例,观察临床固定效果及手术后并发症.结果术后10～12个月随访并取钉,临床效果满意,优28例;良12例;差2例,优良率95.2%,均达骨性愈合,顺利取钉.结论该钉治疗胫腓骨和肱骨骨折具有手术方法简便易行,费用低,属微创范围.因固定牢,准确可靠程度高,手术创伤小,能有效地控制远端旋转移位等优点.

Design and clinical application of the elastic sheath sword intramedullary nail with locked tail

Objective To investigate the clinical results of the fracture of the tibia,fibula and humerus treated with the elastic sheath- sword intrameduilary nail with locked tail (ESSIN) Methods 42 cases with the fracture of the tibia, fibula and hurnerus were treated with ESSIN. The clinical results and complication were observed. Results All fractures were healed with excellent 28 cases, good 12 cases and poor lease, at the follow-up of 10-12 months. Conclusion The method showed many advantages including simple operation, low cost,stable fixation and minor operative trauma.