采用内侧髌腱旁入路和经髌腱入路髓内钉固定治疗胫骨干骨折的对比分析.pdfVIP

nailinsertion intibialshaft Intramedullarytechniques fractures：Medialtendon versus parapatellarapproach tendon Transpatellarapproach PabitraPrasadDwa student： Postgraduate Tutor： ProfessorXn Jian Zhong Firstaffiliated DepartmentofOrthopaedics,TheHospitalofZhengzhouUniversity， Zhengzhou，450052，Henan，P．R．China ABSTRACT Background： Tibiaits andanatomicallocationis to by evolution exposedfrequentiniurytherebybeing themost fractured bone．Becauseonethirdoftibial commonly weightbearinglong surface mostofits issubcutaneous orclosedfracturesaremore throtIghout length，open it commonthanotherbonesandalsohasa blood areenclosed precarious supply,which musdes．Theof atthe of byheavy presencehingejoints knee(proximalparttibia)and the of no for afterfracture tibia)allowsadjustmentrotatory ankle(distalpart deformity and careis reductiontoco矗‘cct union． th璐specialnecessaryduring such．Delayed nonunionandinfectionare common oftibialsha丘fractures relatively complications afterconservative butareminimized mostly management byIntramedullary0M)nailing． Tibial fractures affect malesandoftenresultinlossof