摘要
目的 :通过胫骨髓内钉术后膝关节痛的临床观察 ,探讨膝关节痛的病因。方法 :回顾在我院应用闭合复位交锁髓内钉治疗新鲜胫骨干骨折 12 9个 (12 6例病人 )。结果 :膝关节痛的共有 17例 ,其中 4例是由于钉尾突出胫骨近段 ,引起局部疼痛。另 13例疼痛原因不详 ;所有病人膝关节活动均 >110° ,其中 7例 <110°时有痛 (包括 4例钉突出的 ) ,10例在极度屈膝活动时自觉有膝关节痛 ;除 4例钉尾突出外 ,13例中在非扩髓组 6 /5 5例 ,扩髓组 7/70例 ,统计学分析无差异 ;膝关节痛与髓内钉的品牌无统计学差异 ;经髌韧带入路关节痛发生率 (11/44 )明显高于髌韧带内侧入路 (2 /72 ) ,统计学上有显著差异。结论 :建议使用髌韧带周围入路 ;胫骨交锁髓内钉后出现的膝关节痛虽然比较少 ,其原因还需进一步观察与研究。
Objective: To study the causes of knee pain after tibial intramedullary nailing by reviewing the clinical data. Method: Review 129 cases (126 patients) who has been closed reduction and intramedullary nailing for tibial shaft fractures. Result: 17 cases had knee pain. Among them 4 were due to the end of nail protrusion, others were not known. There were no difference on reamed or unreamed and different nails which produced by different companies. The high rate was shown on the intra patella tendons approach(11/44) comparing para tendons approach (2/72). Conclusion: We recommend the para patella tendons approach and a further study on the postoperative knee pain for tibial intramedullary nailing.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第6期545-547,共3页
Orthopedic Journal of China
