带锁髓内钉治疗胫骨干多段骨折12例分析

Interlocking intramedullary nailing in the treatment of multiple fractures of the tibia

摘要: 目的: 探讨带锁髓内钉治疗胫骨干多段骨折的临床疗效。方法: 采用limited扩髓和静态带锁髓内钉固定治疗胫骨干多段骨折12例,所有病例都首先采用静力性带锁,术后早期不负重功能锻炼。结果: 12例平均随访10。3个月,均达到骨性愈合,平均愈合时间3。6个月,膝、踝关节功能正常或基本正常。结论: 带锁髓内钉是目前治疗胫骨干多段骨折的有效方法之一,具有固定牢固、可以早期功能锻炼、关节功能恢复好的优点。

Abstract: Objective: To observe the effect of interlocking intramedullary nailing in the treatment of multiple fractures of the tibia.Methods: Twelve cases of tibia fracture treated by static locked intramedullary nailing and limited reaming were reviewed.Static interlocked nailing was applied to all cases at first.Results: All the cases were followed up for an average of 10.3 months and the fractures healed.The mean recovery time was 3.6 months.The function of the knees and ankle joints recovered normal or almost normal.Conclusions: The application of interlocking intramedullary nailing is effective in the treatment of tibia fracture.It has the advantages of stronger fixation,earlier motion and better revovery of the joints.