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非扩髓的交锁髓内钉治疗胫骨骨折
引用本文:许守辉,林凯,祝静波,张伟国,吕杰,周晓薇,李宏波,卢熠. 非扩髓的交锁髓内钉治疗胫骨骨折[J]. 中国矫形外科杂志, 2004, 12(10): 739-741
作者姓名:许守辉  林凯  祝静波  张伟国  吕杰  周晓薇  李宏波  卢熠
作者单位:沈阳医学院附属第二医院骨科,沈阳,110002
摘    要:目的 :评估非扩髓的交锁髓内钉治疗胫腓骨骨折的疗效。方法 :应用非扩髓的交锁髓内钉治疗胫腓骨骨折 2 8例 ,开放性骨折 11例 ,闭合性骨折 17例。结果 :按Johner Wruh评分标准 ,优 2 3例 ,良 4例 ,可 1例。平均随访 13个月 ,平均愈合时间 14周 ,无主钉弯曲、断裂和锁钉断裂现象 ,无感染。骨折全部愈合。结论 :非扩髓的交锁髓内钉在治疗胫腓骨骨折中具有创伤小、固定确实、感染率低、骨折愈合率高等优点 ,是治疗胫腓骨骨折的首选方法。

关 键 词:胫骨  非扩髓  交锁髓内钉  骨折愈合
文章编号:1005-8478(2004)10-0739-03
修稿时间:2003-11-17

Unreamed interlocking intramedullary nail in the treatment of the tibial fractures
XU Shou-hui,LIN Kai,ZHU Jing-bo,et al.. Unreamed interlocking intramedullary nail in the treatment of the tibial fractures[J]. The Orthopedic Journal of China, 2004, 12(10): 739-741
Authors:XU Shou-hui  LIN Kai  ZHU Jing-bo  et al.
Affiliation:XU Shou-hui,LIN Kai,ZHU Jing-bo,et al.Department of Orthopaedics,the Second Hospital,Shenyang Medical University,Shenyang 110002
Abstract:Objective:To evaluate the effect of unreamed interlocking intramedullary nail in the treatment of the tibial fractures.Methed:Twenty-eight cases of the tibial fractures treated by the unreamed interlocking intramedullary nail.Open fractures in 11 cases,closed fractures in 17 cases.Result:According to the criteria of Johner-Wruh,excellent in 23 cases,good in 4 cases,fair in 1 case.The average time of follow-up were 13 months,and the average time of union were 14 weeks.There was no nail bended or broken.There was no infection case.All were union.Conclusion:Unreamed interlocking intramedullary nail in the treatment of the tibial fracture has the advantage of less trauma,steady fixation,low infection rate and high healing rate.This is a principal method of the treatment for the tibial fracture.
Keywords:Tibia  Unreamed  Interlocking intramedullary nail  Fracture union
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