Minimally invasive intramedullary nailing in the treatment of 103 cases of tibia and fibula fracture.doc

 PAGE \* MERGEFORMAT 7 Minimally invasive intramedullary nailing in the treatment of 103 cases of tibia and fibula fracture [Keywords:] tibia and fibula fracture; fracture fixation, intramedullary Tibial fracture fixation methods more, each from different perspectives. With the gradual deepening of biomechanical studies, most tend to intramedullary fixation, it has the surgical trauma, fixed strong, fracture healing rate, can be an early event, fewer complications [1]. The core is to protect the blood supply of the local fracture for fracture healing to provide a good biological environment. our department in May 2003 ~ Nov. 2009 with the intramedullary nail in treatment of tibial fractures 103 cases, results were satisfactory, the final report is as follows. 1 Materials and Methods 1.1 General Information The group, 103 patients, 78 males and 25 females, aged 19 to 65 years, mean age 42.5 years. Fractures type: 84 cases of closed fracture, open fracture in 13 cases, 5 cases of old fractures, tibial nonunion Even in 1. fractures parts: the upper section 15 cases, middle 60 cases, the lower 28. fractures according to AO classification: A 24 cases, B-47 cases, C-type in 32 cases. surgery with closed reduction and 34 cases, cut Open reduction of 69 cases, 10 cases of open fractures of emergency non-reamed intramedullary nailing, closed fractures 6 h ~ 15 d after surgery, were made use of intramedullary nails. 1.2 preoperative surgical options thickness, length moderate nail. Continuous epidural anesthesia in patients in the orthopedic operating table supine, hip, knee flexion 40 ~ 80 , in order to enter the proximal tibia, along the tibia nodules adjacent to the medial patellar ligament to make longitudinal incision about 3 cm, the lateral patellar tendon is retracted to expose the tibial tuberosity. tibial tubercle in the patellar tendon at the upper edge close to the drilling device with the open marrow cavity, insert the guide pin, In the C-arm