CAJ | 학술논문

目的探讨胫骨干骨折外固定更换内固定的时机及内置物的选择. 方法对2003年2月-2012年2月57例胫骨干骨折外固定更换内固定的患者临床资料进行分析.记录A组(2周内更换内固定,35例)和B组(2周后更换内固定,22例)分别更换内固定(髓内钉或钢板)的治疗情况并进行比较. 结果 A组感染1例,感染率3％;发生骨愈合不良4例,愈合不良发生率11％.B组感染5例,感染率23％;发生骨愈合不良3例,愈合不良发生率14％.选择髓内钉A组的感染率为0,B组的感染率为44％.选择钢板A组和B组的感染率均较为8％.结论 2周内更换内固定的治疗效果明显好于2周后更换.2周内更换钢板和髓内钉时感染率均较低,2周后更换时选择钢板进行内固定相对安全.钉道感染是更换内固定后发生感染的高危因素.
목적 탐토경골간골절외고정경환내고정적시궤급내치물적선택. 방법 대2003년2월-2012년2월57례경골간골절외고정경환내고정적환자림상자료진행분석.기록A조(2주내경환내고정,35례)화B조(2주후경환내고정,22례)분별경환내고정(수내정혹강판)적치료정황병진행비교. 결과 A조감염1례,감염솔3％;발생골유합불량4례,유합불량발생솔11％.B조감염5례,감염솔23％;발생골유합불량3례,유합불량발생솔14％.선택수내정A조적감염솔위0,B조적감염솔위44％.선택강판A조화B조적감염솔균교위8％.결론 2주내경환내고정적치료효과명현호우2주후경환.2주내경환강판화수내정시감염솔균교저,2주후경환시선택강판진행내고정상대안전.정도감염시경환내고정후발생감염적고위인소.
Objective To investigate the time and implant selection in conversion from external fixation to internal fixation of tibial shaft fracture.Methods Data of 57 cases of tibial shaft fracture fixed externally followed by internal fixation from February 2003 to February 2012 were analyzed.Internal fixation (intramedullary nails or plates) initiated within 2 weeks (Group A,n =.35) and over 2 weeks (Group B,n =22) were compared in outcomes.Results One infection (3％) and four poor bone healing (11％) were observed in Group A.Five infections (23％) and three poor bone healing (14％) occurred in Group B.For intramedullary nail fixation,no infection was observed in Group A but infection rate of44％ was found in Group B.For plate internal fixation,infection rate was 8％ for both groups.Conclusions The conversion from internal fixation to internal fixation had better start within 2 weeks,with better resuhs,lower rate of infection and safer in comparison with that over 2 weeks.In addition,pin-tract infection is the high risk factor for infection after the conversion of the fixation.