Minimally invasive intramedullary nail fixation of tibia fractures C2.doc

 PAGE \* MERGEFORMAT 20 Minimally invasive intramedullary nail fixation of tibia fractures C2 Authors: Zhang Haibo, Zhang Qing, Wang Yisheng 【Abstract】 Objective] To sum up type C2 fracture of tibia clinical characteristics, Minimally invasive intramedullary nail fixation of tibia fractures C2 and efficacy of surgical method. [Method] since May 2000 ~ March 2006 adoption of minimally invasive intramedullary nail fixation of C2 fracture of tibia of 30 cases, male 21 cases and 9 females; aged 20 to 63 years old, with an average 41.5 years of age. 14 cases of closed fractures using the finite-reamed intramedullary nail treatment; open fractures of 16 cases (including Gustilo Ⅰ and Ⅱ) use of non-reamed intramedullary nail treatment, both static nature of the fixed. Injury from the operation time was 2h ~ 12 d, an average of 4.5 d. [Results] The average follow-up time was 16.5 months (7 ~ 21 months). Each contributed 30 cases of bone healing, fracture healing time was 4 to 9 months, an average of 6.2 months. According to Johner  Wruch functional evaluation criteria, 24 cases of excellent, good in 6 cases. Non-small-leg compartment syndrome, deep infection, knee pain, the main nail and nail breakage and malunion occurred. 2 cases of delayed healing. [Conclusion] C2 fracture of tibia more than damage caused by the high-energy, multi-occur in the backbone area. Minimally invasive intramedullary nail fixation is the treatment of tibial fractures C2 a better way, its simple operation, surgical trauma, fixed and reliable, high rate of fracture healing, less complications and results were satisfactory. Norms and minimally invasive surgical operation should be a high priority. Keywords: tibial fractures; fracture fixation; intramedullary; minimally invasive; treatment outcome C2 fracture of tibia multi-segment shall tibial fractures, for the clinical complexity of the more common type of fracture of the tibia. Treatment of tibial fractures