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扩髓交锁髓内钉及钢板治疗胫腓下段骨折
引用本文:朱树卯,朱兴建. 扩髓交锁髓内钉及钢板治疗胫腓下段骨折[J]. 职业与健康, 2009, 25(2): 219-220
作者姓名:朱树卯  朱兴建
作者单位:1. 云南省宣威市板桥镇云峰医院,655000
2. 曲靖市第二人民医院
摘    要:目的探讨扩髓交锁髓内钉及钢板治疗胫腓下段骨折治疗效果。方法对67例胫腓下段骨折病人行扩髓交锁髓内钉及钢板治疗,闭合性骨折46例,开放性骨折21例。结果随访6~18个月,采用Johner-Wruh评定标准,优49例、良15例、一般3例,平均愈合13.6周,腓骨延迟愈合3例,胫骨延迟愈合9例,无深部感染。结论扩髓交锁髓内钉(国产带瞄准装置G-K钉)固定胫骨、1/3半管形钢板固定腓骨治疗胫腓骨下段骨折疗效满意。

关 键 词:胫腓下段骨折  扩髓交锁髓内钉  钢板  骨折愈合

Unreamed Intramedullary Nail and Steel Plate in Treatment of Tibial and Fibula Fracture at Lower Segment
ZHU Shu-mao,ZHU Jian-xing. Unreamed Intramedullary Nail and Steel Plate in Treatment of Tibial and Fibula Fracture at Lower Segment[J]. Occupation and Health, 2009, 25(2): 219-220
Authors:ZHU Shu-mao  ZHU Jian-xing
Affiliation:ZHU Shu-mao , ZHU Jian-xing ( Yunfeng hospital, Yunnan , 655000, China )
Abstract:[Objective] To explore the effect of unreamed intramedullary nail and steel plate in treatment of tibial and fibula fracture at lower segment.[Methods] 67 patients with tibial and fibula fracture at lower segment, including 46 closed fracture and 21open fracture, were conducted of unreamed intramedullary nail and steel plate treatment.[Results] Follow up for 6-18 months, judged by Johner Wruh standard, 49 were excellent, 15 were good, 3 were common, with average cure time of 13.6 weeks, 3 were delayed healing fibula, 9 were of delayed healing tibia, without deep infection.[Conclusion] The treatment of unreamed intramedullary nail ( G-K nail made in china with target device ) fixing tibia and 1 / 3 tubular plate fixing fibula has satisfied effect on tibia and fibula fracture at lower segment.
Keywords:Tibia and fibula fracture at lower segment  Unreamed intramedullary nail  Steel plate  Fracture healing
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