带锁髓内钉内固定治疗胫骨骨折体会.docVIP

带锁髓内钉内固定治疗胫骨骨折体会[摘要] 目的 探讨带锁髓内钉内固定术治疗胫骨骨折的临床效果。 方法 回顾性分析2001年1月～2010年12月本院应用C臂透视下闭合复位加带锁髓内钉内固定治疗胫骨骨折并随防182例患者的临床资料。 结果 所有随访病例均在4～8个月实现临床愈合，关节功能正常，无感染、畸形、脂肪栓塞及骨筋膜室综合征发生，按Johner-Wruhs功能恢复标准：优160例，良22例。 结论 带锁髓内钉治疗胫骨骨折具有创伤小、固定可靠、骨折愈合率高、能早期活动、感染率低等优点，可作为治疗胫骨骨折的内固定方法。 [关键词] 带锁髓内钉内固定术；胫骨骨折；临床疗效；愈合率 [中图分类号] R687.3 [文献标识码] B [文章编号] 1674-4721（2012）07（c）-0253-02 Experience of interlocking intramedullary nail fixation in the treatment of tibial fracture LIU Wanxin LIU Rixin CHEN Xuanming LI Chunxiao Department of Orthopedics, Affiliated Chenxinghai Hospital of Guangdong Medical College in Guangdong Province, Zhongshan 528415, China [Abstract] Objective To investigate the clinical efficacy of interlocking intramedullary nail fixation in the treatment of tibial fractures. Methods The clinical data of one hundred and eighty-two cases of patients with tibial fracture treated with closed reduction under C arm fluoroscopy and interlocking intramedullary nail fixation in our hospital from January 2001 to December 2010 were analyzed retrospectively. Results All the cases were cured in 4 to 8 months, the joint function was normal, had no incidence of infection, deformity, fat embolism and osteofascial compartment syndrome. According to the Johner-Wruhs function recovered standard, one hundred and sixty cases were excellent, twenty-two cases were good. Conclusion Intramedullary interlocking nail in the treatment of tibial fractures has advantages of small trauma, reliable fixation, high fracture healing rate, early activity and low infection rate, which can be used as the internal fixation method in the treatment of tibial fracture. [Key words] Interlocking intramedullary nail internal fixation; Tibial fracture; Clinical efficacy; Healing rate 胫骨骨折是长管状骨折中最为常见的一种疾病，占全身骨折的13.7%[1]。由于胫骨表面肌肉及软组织覆盖少及血液供应欠佳，尤其是胫骨中下段，致使骨折不愈合或延迟愈合率高，而采用骨折闭合复位带锁髓内钉内固定后疗效明显提高。本院从2001年1月～2010年12月应用髓内钉内固定治疗胫骨骨折182例，现报道如下： 1 资料与方法 1.1 一般资料 本组患者182例，其中，男101例，女81例，年龄19～65岁，平均36岁；胫腓骨双骨折42例，胫骨骨折140例