| 扩张自锁髓内钉与锁定钢板置入治疗胫骨干闭合骨折的比较 |
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| 引用本文： | 马雪海,郑进,郑圣鼐,唐城,徐燕.扩张自锁髓内钉与锁定钢板置入治疗胫骨干闭合骨折的比较[J].中国组织工程研究与临床康复,2011,15(35):6522-6526. |
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| 作者姓名： | 马雪海 郑进 郑圣鼐 唐城 徐燕 |
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| 作者单位： | 1. 淮安市楚州医院骨科,江苏省淮安市,223200
2. 南京医科大学附属南京第一医院骨科,江苏省南京市,210006 |
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| 摘 要： | 背景:采用扩张自锁髓内钉置入治疗简单闭合性骨折具有操作简单,无需交锁等优势。目的:对比扩张自锁髓内钉置入内固定与锁定钢板置入内固定治疗胫骨干闭合骨折的临床效果。方法:分别采用自锁髓内钉与锁定钢板置入内固定治疗胫骨闭合性骨折。记录两组手术时间、出血量、术中与术后并发症、下地时间、骨折愈合时间、置入后1年膝关节KSS评分结果。结果与结论:自锁髓内钉组手术时间、出血量均低于锁定钢板内固定组(P<0.05)、下地时间快于锁定钢板内固定组(P<0.05),两组术中与术后并发症发生率、骨折愈合时间、置入后1年膝关节KSS评分及生物相容性差异无显著性意义。提示采用髓内扩张自锁髓内钉置入治疗胫骨干闭合骨折更微创,具有手术时间短,下地时间早等优势。
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| 关 键 词： | 扩张自锁髓内钉 髓内钉 内固定 胫骨 骨折 骨科植入物 |
Self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fractures |
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| Ma Xue-hai,Zheng Jin,Zheng Sheng-nai,Tang Cheng,Xu Yan.Self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fractures[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(35):6522-6526. |
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| Authors: | Ma Xue-hai Zheng Jin Zheng Sheng-nai Tang Cheng Xu Yan |
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| Institution: | Ma Xue-hai1,Zheng Jin1,Zheng Sheng-nai2,Tang Cheng2,Xu Yan21Department of Orthopedics,Chuzhou Hospital,Huaian 223200,Jiangsu Province,China,2Department of Orthopedics,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006 |
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| Abstract: | BACKGROUND:Because the operation technique of self-locking expandable intramedullary nail is relatively simple,it has some advantages in the treatment of simple closed tibial fracture.OBJECTIVE:To investigate and discuss the feasibility and clinical outcome of self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fracture.METHODS:In self-locking expandable intramedullary nail group,15 cases were operated.In locking plate group,16 cases were operated.Time of... |
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