CAJ | 학술논문

目的探索选择性扩髓交锁髓内钉在开放性长骨干骨折治疗中的应用。方法通过对20例开放性长骨干骨折采用交锁髓内钉(选择性扩髓)固定后临床疗效的分析，综合评价该手术的可行性和积极性。结果随访6月～3年，平均1年零8个月，取得满意的效果。结论严格掌握适应证及手术时机，并熟练掌握操作技术，感染率可得到满意控制。骨折固定时抗旋转、抗弯曲、抗剪力强，骨畸形愈合、骨不连明显降低。更适合于节段性和局部需作皮瓣转移覆盖创面的开放性骨折。
목적 탐색선택성확수교쇄수내정재개방성장골간골절치료중적응용。방법통과대20례개방성장골간골절채용교쇄수내정(선택성확수)고정후림상료효적분석，종합평개해수술적가행성화적겁성。결과수방6월～3년，평균1년령8개월，취득만의적효과。결론엄격장악괄응증급수술시궤，병숙련장악조작기술，감염솔가득도만의공제。골절고정시항선전、항만곡、항전력강，골기형유합、골불련명현강저。경괄합우절단성화국부수작피판전이복개창면적개방성골절。
Objective To observe the clinical use of the intramedullar interlocking nail in the treatment of long shaft bone open fracture.Methods Through the analysis of the clinical effect after the use of the intramedullar interlocking nail (selective marrow cavity rasping)in the treatment of 20 cases long shaft open fracture, we could evaluate the feasibility and the positivity of such kind of operation. Results After the follow-up of 6 months to 3 years with average of 1 year and 8 months, we've obtained the satisfying results. Conclusion The rate of infection could be controlled effectively when the opportunity of operation and indications was grasped and the skill of operation was possessed expertly. After the fixation of the fracture, the anti-rotation, anti-bend, and anti-shearing force are greatly increased. The rate of malunion and disunion are greatly reduced. This method can be better used when the local wounds need skin flap transplantation and on the segmented open fracture