CAJ | 학술논문

目的：探讨近端锁定带锁髓内钉固定治疗胫骨干骨折的疗效。方法采用近端锁定带锁髓内钉固定治疗32例胫骨干骨折患者，观察手术效果及并发症情况。结果术后 X 线片显示骨折对位对线良好，无旋转移位。所有患者均获随访，时间5~13(8．5±3．1)个月。骨折均顺利愈合，时间12~16(14．2±1．0)周。无感染、内固定物松动、断裂，无旋转移位、骨折不愈合等并发症发生。采用 Johner-Wruh 评分标准：优26例，良6例。结论近端锁定带锁髓内钉固定治疗单纯胫骨骨折减少了锁钉断裂的风险，有利于患者早期功能锻炼及骨折的愈合，但临床应用中应严格把握适应证。
목적：탐토근단쇄정대쇄수내정고정치료경골간골절적료효。방법채용근단쇄정대쇄수내정고정치료32례경골간골절환자，관찰수술효과급병발증정황。결과술후 X 선편현시골절대위대선량호，무선전이위。소유환자균획수방，시간5~13(8．5±3．1)개월。골절균순리유합，시간12~16(14．2±1．0)주。무감염、내고정물송동、단렬，무선전이위、골절불유합등병발증발생。채용 Johner-Wruh 평분표준：우26례，량6례。결론근단쇄정대쇄수내정고정치료단순경골골절감소료쇄정단렬적풍험，유리우환자조기공능단련급골절적유합，단림상응용중응엄격파악괄응증。
Objective To explore the effects of proximal locking with interlocking intramedullary nail fixation for sim-ple tibial fractures. Methods 32 cases of tibial fractures were treated with interlocking intramedullary nail fixation with proximal locking. Surgical effect and complications were observed. Results All of the fractures counterpoint were showed good from X-ray film without rotating dislocation. All patients got 5 ~ 13 months of follow-up, average (8. 5 ± 3. 1) months. All fractures were healed smoothly, and the healing time was 12 ~ 16(14. 2 ± 1. 0) weeks. There were no complications such as infection, breakage of screw, rotating dislocation, nonunion appeared. Accord-ing to the Johner-Wruh scoring criteria: the results were excellent in 26 cases, good in 6. Conclusions Proximal locking with interlocking intramedullary nail fixation for simple tibial fractures can reduce the risk of infection, break-age of screw, and it is favorable for patients with early functional exercise and fracture healing, but should be strictly grasped the indications in the clinical application.