Mini-incision open reduction and intramedullary nail in treatment of tibia and fibula fracture with.doc

 PAGE \* MERGEFORMAT 18 Mini-incision open reduction and intramedullary nail in treatment of tibia and fibula fracture with Author: Wei Shujie Sheng-Ling Tan Li Geng Pan Chun-Yu Tan 【Abstract】 Objective To investigate the interlocking intramedullary nail in the treatment of tibia and fibula fracture with clinical results and points for attention. Methods 42 cases of tibia and fibula fracture with use of small-incision open reduction and intramedullary nail fixation. Results All patients were followed, and 1 case of comminuted fracture of the ankle near the remote only on a nail, there is no fixed fibula due to weight-bearing too early, the main nail broken in favor of cured leaf plate fixation. In 2 cases knee pain, Neng Ren, remove the pain disappeared after internal fixation. The remaining cases were in the 6 to 9 months up to clinical healing, joint function was normal, no infection, deformity, fat embolism and bone compartment syndrome, according to Johner-Wruhs functional recovery criteria: excellent 30 cases, good in 11 cases. Conclusion interlocking intramedullary nail in the treatment of tibial shaft fractures with functional recovery is good, the high rate of fracture healing is the treatment of tibia and fibula fracture with an ideal method, but not early weight-bearing fracture. Keywords: fracture of tibia fracture fibula fracture surgery solid Stem fracture of tibia and fibula clinical fracture in one of the more common, accounting for 9.54% body fractures [1], the clinical treatment of many ways. Since the beginning of 1999, our hospital, a small incision open reduction of tibial interlocking intramedullary nail in treatment of tibia and fibula fracture with 42 cases, satisfactory effect is reported as follows: 1 Data and methods 1.1 General Information The group of 42 patients, 29 male and 13 females, aged from 17 to 72 years, mean 38 years. According to AO classification [2]: A type 15 cases, B-21 cases,