小切口复位交锁髓内钉治疗胫骨干骨折疗效分析

目的探讨小切口复位交锁髓内钉治疗胫骨骨折的临床应用效果。方法统计2004年11月至2008年10月使用交锁髓内钉治疗胫骨骨折47例，采用小切口切开复位、髓内钉技术，分析其疗效。结果随访病例47例，随访时间8～17个月。术后3～12周膝关节功能恢复正常，无骨折不愈合及畸形愈合。结论小切口复位交锁髓内钉治疗胫骨骨折具有创伤小、稳定性好、骨折愈合率高、功能恢复快等优点，值得临床推广和应用。

The curative effects of intramedullary interlocking nailand small incision for the treatment of tibial shaft fracture

Objective To evaluate the clinical applied effects of tibial shaft fracture with intramedullary interlocking nail and small incision. Methods From November 2004 to October 2005,47 cases of tibial shaft fracture were treated with intramedullary interlocking nail, all the cases were adopted with small incision and intramedullary interlocking nail, and analysed the curative effects Results 47 cases were followed-up ranged 8 ～ 27 months. All cases resumed normal knee function 6 to 12 weeks after operation,without nonunion and malunion. Conclusion Treatment of tibial shaft fracture with intramedullary interlocking nail and small incision had the advantages of little trauma,good stability, high rate of fracture union and rapid functions recovery. It is worthy deserveed to be put into application and populatization in clinics.