矩形髓内钉治疗胫、腓骨骨折10年临床总结

目的：总结10年来9所医院用矩形髓内钉治疗胫、腓骨骨折的临床经验。方法：1987年1月至1996年12月，9所医院用矩形髓内钉治疗胫、腓骨骨折共4682例，其中男3278例，女1404例，骨折复位方法包括开放复位、半开放复位和闭合复位三种。评价患的手术效果。结果：优2173例（62．89％），良947例（27．40％），可214例（6．19％），差121例（3．50％），总优良率达到90．29％，结论：矩形髓内钉治疗胫、腓骨骨折有良好的生物学性能，能发挥弹性固定特点，手术简单易行，亦适用于严重开放性骨折的治疗，是治疗胫、腓骨骨折的较好方法之一。

Treatment of tibiafibular fractures with rectangle-shaped intramedullary nails

Objective:To summarize the 10 year clinical experience of treating tibiafibular fractures with rectangle shaped intramedullary nails(RIN). Methods:From January 1987 to December 1996, 4 682 cases (3 278 male and 1 404 female) of tibiafibular fractures from 9 hospitals were treated with RIN . Three kinds of reduction methods including open reduction, semi open reduction and closed reduction were used during operation. Results:Results showed 2 173 cases (62.89%) got excellent result, 947 got good (27.40%), 214 got moderate (6.19%), 121 got poor (3.50%). The total healing rate was 90.29%. Conclusion:RIN has excellent biological characteristics which can provide a flexible interfixation when treating tibiafibular fractures, and the operation is simple, it also can be used for severe open fractures. RIN is one of the good techniques in treating tibiafibular fractures.