| 胫骨中段骨折不愈合的原因分析与交锁髓内钉治疗评价 |
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| 引用本文： | 叶劲,莫茅,陈伟明,钟志联,沈明,白波.胫骨中段骨折不愈合的原因分析与交锁髓内钉治疗评价[J].中国临床解剖学杂志,2004,22(4):435-436. |
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| 作者姓名： | 叶劲 莫茅 陈伟明 钟志联 沈明 白波 |
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| 作者单位： | 1. 云浮市人民医院骨科,广东,云浮,527300
2. 广州医学院第一附属医院骨科,广州,510120 |
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| 摘 要： | 目的：分析胫骨中段骨折不愈合及延迟愈合的原因，并评价交锁髓内钉治疗胫骨中段骨折不愈合及延迟愈合的效果。方法：1998年6月～2002年11月对17例胫骨中段骨折非感染性不愈合及延迟愈合患者(骨折不愈合9例，延迟愈合8例)，采用交锁髓内钉静力型固定治疗，10例行自体髂骨植骨，7例行单纯闭合扩髓，未植骨。结果：所有患者均于术后3～10个月获得骨性愈合，平均5．8个月。结论：(1)胫骨中段骨折不愈合及延迟愈合的主要原因为原始创伤严重，初期处理不当；(2)使用交锁髓内钉治疗胫骨中段骨折不愈合及延迟愈合具有固定可靠，符合解剖生物力学的原理，术后可早期功能锻炼等优点，是一种较好的治疗方法。
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| 关 键 词： | 胫骨 交锁髓内钉 骨折 不愈合 |
| 文章编号： | 1001-165X(2004)04-0435-02 |
| 修稿时间： | 2004年2月8日 |
Cause of tibia non-union and the use of a intrameduallay interlocking nail for the treatment of tibia non-union |
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| YE Jing,MO Mao,CHEN Wei-ming,et al..Cause of tibia non-union and the use of a intrameduallay interlocking nail for the treatment of tibia non-union[J].Chinese Journal of Clinical Anatomy,2004,22(4):435-436. |
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| Authors: | YE Jing MO Mao CHEN Wei-ming |
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| Institution: | YE Jing,MO Mao,CHEN Wei-ming,et al. Department of Orthopedics,The People Hospital of Yunfu,Yunfu 523730,China |
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| Abstract: | To analyse the cause of non-union in tibia and assess the clinical outcomes of intrameduallary interlocking nail. Methods: From June 1998 to November 2003, 17 cases of non-union of tibia were treated with interlocking nail and combining bone graft was performed in 10 cases. Results: All patients achieved solid bone union on the average of 5.8 months. Conclusions: (1) The main reasons for non-union are improper treatment and serious injury in first time. (2) Intrameduallary interlocking is one of the effective alternatives for treatment of tibia non-union. It can provide a stable and reliable fixation which is beneficial for early functional exercise. |
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| Keywords: | tibia intrameduallary interlocking nail fracture ununited |
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