摘要
目的探讨交锁髓内钉内固定治疗胫腓骨骨折的临床疗效。方法回顾性分析从2002年10月～2007年9月不同方法治疗的胫腓骨骨折120例,其中外固定架8例,AO加压钢板48例,交锁髓内钉64例。结果随访3～12个月,平均10个月,疗效优良率:外固定架75%,AO钢板79%,交锁髓内钉98%。三种方法固定骨折均愈合,但有并发症。外固定架和AO钢板并发症无显著性差异(P>0.05),而交锁髓内钉和AO钢板、交锁髓内钉和外固定架比较并发症有显著性差异(P<0.05)。结论交锁髓内钉可广泛应用于胫腓骨复杂骨折且优于AO钢板及外固定支架,它具有微创及符合生物学内固定的优点,术后骨折愈合较为理想,若能早期功能锻炼,并发症较少。
Objective To investigate therapeutic effect of tibial and fibular fracture on the use of interlocking bone nail fixation methods. Methods From October 2002 to September 2007,120 cases of tibial and fibular fracture received treatment of different methods were analyzed retrospectively. Among them, 8 cases were treated with external fixator,48 cases AO compressed steel plates and 64 cases intramedullary interlocking nail. Results All cases were followed-up for 3 - 12 months,average followed-up period were 10 months after operation. The rate of excellence and good were 75% in external fixator,79% in AO compressed steel plates and 98% in intramedullary interlocking nail respectively. There were no significant differences of complication in intramedullary interlocking nail and AO compressed steel plates, intramedullary inlerlocking nail and external fixator. Conclusion The rapeutic effect of tibial and fibulal fracture treated by intramedullary interlocking nail is more satisfied than by external fixator and AO compressed plates. The intramedullary interlocking nail is considered as an effective means of treatment of tibial and fibulal fracture with little hurt of operation, good anatomy reposition, high rate of fracture healing, early function exercise and rare complications.
出处
《中国现代医生》
2008年第31期27-28,54,共3页
China Modern Doctor
关键词
胫腓骨骨折
交锁髓内钉
疗效
Tibial and fibulal fracture
Intramedullary interlocking nail
Therapeutic effect
