摘要
[目的]探讨带锁髓内钉治疗胫骨干骨折的术后并发症[方法]回顾性分析自1996年4月～2006年6月胫骨干骨折118例及26例胫骨骨不连的患者,骨折患者采用闭合复位、有限切口切开复位,带锁髓内钉静力型固定。骨不连患者采用切开复位,带锁髓内钉静力型固定并植骨。[结果]122例获得随访,随访13～29月(平均17.7个月),24例患者出现明显的并发症,其中,骨不连10例,骨折端分离4例,膝关节疼痛3例,成角畸形3例,深部感染2例,主钉断裂1例,锁钉退出1例。[结论]锁髓内钉治疗胫骨干骨折有较高的并发症发生率,骨折端存在明显间隙者有较高的骨不连发生率。
[Objective] To study the postoperative complications of tibia shaft fracture with intramedullary interlocking nailing. [ Methods] From April 1996 to June 2006, 118 cases of tibia shaft fracture were manipulated closed reduction, limited open reduction and static fixation with intrameduUary interlocking nails. 26 cases of tibia nonunions were treated with open reduction, static fixation with intrameduUary interlocking nails and bone grafting. All the clinical date were retrospectively analyzed. [ Results] 122 cases were followed-up from 13 months to 29 months （average 17.7 months） , 24 cases had significant complications. And there were 10 cases of persistent nonunions, 4 cases of seperation of broken ends of fracture, 3 cases of knee joint pain. 3 cases of angular malunion, 2 cases of deep infection, 1 case of nail broken, 1 case of locking screw dropping out. [ Conclusions] The risk of operative comminution was significantly higher in intramedullary nailing, and operative comminution resulted in a significantly higher risk of nonunions.
出处
《现代预防医学》
CAS
北大核心
2007年第14期2771-2772,2777,共3页
Modern Preventive Medicine
关键词
带锁髓内钉
胫骨干骨折
手术后并发症
Intramedullary interlocking nails
Fracture of tibia shaft
Postoperative complications
