内蒙古中医药
內矇古中醫藥
내몽고중의약
INNER MONGOL JOURNAL OF TRADITIONAL CHINESE MEDICINE
2009年
14期
67-68,77
,共3页
髓内钉%股骨、胫骨多段骨折%骨折固定术
髓內釘%股骨、脛骨多段骨摺%骨摺固定術
수내정%고골、경골다단골절%골절고정술
目的:探讨交锁髓内钉治疗股骨、胫骨多段骨折的方法与疗效.方法:含累及小粗隆但未延伸至大粗隆的股骨多段骨折使用重建髓内钉,余股骨、胫骨的多段性骨折均采用扩髓交锁髓内钉治疗.结果:经8个月～18个月随访,骨折全部愈合,无锁钉及髓内钉松动、断裂,髋、膝、踝关节功能正常,均无感染,一例因胫前皮肤及软组织缺损重行腓肠肌内侧头肌皮瓣修复皮肤缺损.结论:交锁髓内钉在治疗股骨与胫骨多段骨折中,具有创伤小,固定坚强,骨折愈合率高,能早期活动,感染率低等优点,是治疗股骨与胫骨多段骨折的一种很好的内固定方法,值得临床广泛使用.
目的:探討交鎖髓內釘治療股骨、脛骨多段骨摺的方法與療效.方法:含纍及小粗隆但未延伸至大粗隆的股骨多段骨摺使用重建髓內釘,餘股骨、脛骨的多段性骨摺均採用擴髓交鎖髓內釘治療.結果:經8箇月～18箇月隨訪,骨摺全部愈閤,無鎖釘及髓內釘鬆動、斷裂,髖、膝、踝關節功能正常,均無感染,一例因脛前皮膚及軟組織缺損重行腓腸肌內側頭肌皮瓣脩複皮膚缺損.結論:交鎖髓內釘在治療股骨與脛骨多段骨摺中,具有創傷小,固定堅彊,骨摺愈閤率高,能早期活動,感染率低等優點,是治療股骨與脛骨多段骨摺的一種很好的內固定方法,值得臨床廣汎使用.
목적:탐토교쇄수내정치료고골、경골다단골절적방법여료효.방법:함루급소조륭단미연신지대조륭적고골다단골절사용중건수내정,여고골、경골적다단성골절균채용확수교쇄수내정치료.결과:경8개월～18개월수방,골절전부유합,무쇄정급수내정송동、단렬,관、슬、과관절공능정상,균무감염,일례인경전피부급연조직결손중행비장기내측두기피판수복피부결손.결론:교쇄수내정재치료고골여경골다단골절중,구유창상소,고정견강,골절유합솔고,능조기활동,감염솔저등우점,시치료고골여경골다단골절적일충흔호적내고정방법,치득림상엄범사용.
Objective:to investigate the method and curative effect of interlocking intramedullary nailing for multi-segment femoral and tibial fracture.Methods:the indication of using reamed intramedullary nailing is multi-segment fracture of femoral and tibia.However.if the fracture involves lesser troehanter and doesn't extend larger trochanter,we would choose reconstruction nail Results:after follow-up for 8～18months,all the fractures attach clinical bone union,no loosing or breakage of interlocking screws and intramedullary nailing.The function of hip and knee and allkle is normal,no infection.One case of defect of the skin and soft tissueneed dermoplasty at second time.Conclusion:the advantnges of using interlocking intramedullary nailing for multi-segment femoral and tibial fraeture are less trauma,stronger fixation,higher bone-union incidence,earlier function exercise and lower infection incidence.As a satisfactory treatment ofinternal ftxtion for multi-segmentfemoral and tibial fracture,we befieve it should be worth to exteusively clinical use.
