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| 交锁髓内钉治疗胫骨骨折并发症分析 | |
| 引用本文： | 王根林,杨惠林,牛国旗,周云,谢杰,唐天驷. 交锁髓内钉治疗胫骨骨折并发症分析[J]. 中国矫形外科杂志, 2006, 14(22): 1681-1683 |
| 作者姓名： | 王根林 杨惠林 牛国旗 周云 谢杰 唐天驷 |
| 作者单位： | 1. 苏州大学附属第一医院骨科,苏州,215006 2. 镇江市第一人民医院骨科,镇江,212000 3. 合肥市第一人民医院骨科,合肥,230000 |
| 摘 要： | [目的]探讨交锁髓内钉治疗胫骨骨折并发症的原因。[方法]回顾性分析交锁髓内钉治疗胫骨骨折785例患者的完整资料。[结果]随访时间平均为27个月（8～40个月），发生并发症如下：感染率2．7％（21例）；骨折不愈合1．5％（12例）；骨折延迟愈合6．8％（53例）；骨折畸形愈合0．9％（7例）；膝关节痛6．8％（53例）；主钉断裂1．4％（11例）；锁钉断钉、退出2．2％（17例）。[结论]熟练掌握髓内钉的操作技术、正确选择手术适应证及恰当的术后处理是减少并发症的关键。 |
| 关 键 词： | 胫骨骨折 骨折固定术 髓内钉 并发症 |
| 文章编号： | 1005-8478（2006）22-1681-03 |
| 收稿时间： | 2006-05-29 |
| 修稿时间： | 2006-07-24 |
Analysis of the complications of interlocking intramedullary nail for treatment of tibial fracture |
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| WANG Gen-lin, YANG Hui-lin, NIU Guo-qi,et al.. Analysis of the complications of interlocking intramedullary nail for treatment of tibial fracture[J]. The Orthopedic Journal of China, 2006, 14(22): 1681-1683 | |
| Authors: | WANG Gen-lin YANG Hui-lin NIU Guo-qi et al. |
| Affiliation: | Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou 215006, China |
| Abstract: | [Objective]To explore the complications of tibial fracture treated with interlocking intramedullary nail.[Method]The full data of 785 cases of tibial fiacture treated with interlocking intramedullary nail were studied retrospectively.[Result]Mean follow-up period was 27 months (8~40months).There were some complications as follows: infection rate was 2.7% (21 cases),fracture nonunion 1.5% (12 cases),fracture delayed union 6.8% (53 cases),fracture malunion 0.9% (7 cases),knee pain 6.8% (53 cases),nail broken 1.4% (ll cases),locking screw broken or drop out 2.2% (17 cases).[Conclusion]Proper manipulations,strict indications,and postoperative treatment are vital to prevent the complications. |
| Keywords: | tibial fracture fracture fixation interlocking intramedullary nail complication |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |