CAJ | 학술논문

目的：探讨胫骨开放性骨折行交锁髓内钉内固定治疗的方法。方法 i 型6例，Ⅱ型12例，Ⅲ a 型3例．Ⅲ b 型1例，Ⅲ c 型1例，均行急诊清创、交锁髓内钉内固定。结果23例获6～20个月随访，优17例，良6例，全部骨折均骨性愈合，最短者12周，最长者28周。平均17．6周，无断钉、无骨感染。结论在及时有效清创及抗感染治疗下，交锁髓内钉是治疗胫骨开放性骨折的有效方法。
목적：탐토경골개방성골절행교쇄수내정내고정치료적방법。방법 i 형6례，Ⅱ형12례，Ⅲ a 형3례．Ⅲ b 형1례，Ⅲ c 형1례，균행급진청창、교쇄수내정내고정。결과23례획6～20개월수방，우17례，량6례，전부골절균골성유합，최단자12주，최장자28주。평균17．6주，무단정、무골감염。결론재급시유효청창급항감염치료하，교쇄수내정시치료경골개방성골절적유효방법。
Objective To investigate the method of open tibial fracture with interlocking intramedullary nail internal fixation for the treatment of. Methods 6 cases of type i, 12 cases of type ii, 3 cases of type a. 1 cases of type iii, 1 cases of type c, underwent emergency debridement, interlocking intramedullary nail. Results 23 cases were followed up for 6-20 months, 17 cases were excellent, good in 6 cases, all the fractures healed, the short 12 weeks, the longest 28 weeks. an average of 17.6 weeks, no broken nails, no bone infection. Conclusion in a timely and effective debridement and anti infection treatment, interlocking intramedullary nail is an effective method for the treatment of open fractures of the tibia.