改良梅花髓内针治疗胫腓骨骨折的疗效评价
摘要点击次数: 1871   全文下载次数: 1067   投稿时间:2001-04-03    
作者Author单位AddressE-Mail
明立功 MING Li-gong 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明新杰 MING Xin-jie 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明新广 MING Xin-guang 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
明立德 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
张全金 滑县骨科医院,河南滑县456485 Orthopaedic Hospital of Huaxian Henan Huaxian , 456485  
期刊信息:《中国骨伤》2002年,第15卷,第4期,第202-203页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:分析改良梅花髓内针治疗胚胖骨骨折的可行性。

方法:自1993年7月~2000年5月,我院应用改良梅花髓内针治疗226例腔胖骨骨折,并对其骨折的类型、手术方法、术后处理及疗效进行总结和分析。

结果:180例获得随访,随访时间6个月~6年,平均26个月,除9例延迟愈合,2例不愈合外,余均正常骨性愈合,按JohnerwrUh评分标准,优125例,良40例,中12例,差3例,优良率gi石%。

结论:该方法具有创伤小、固定可靠、应力遮挡小、可有效地抗旋转作用等优点,其生物力学特性适合胚骨骨折愈合的需要。
【关键词】胫骨骨折  骨折固定术  髓内  骨折愈合
 
Treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail
ABSTRACT  

Objective:study the treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail

Methods:From 1993. 7 to 2000. 5,226 cases of fracture of tibia and fibula were treated with modified cloverleaf type intramedullary nail and the fracture type, operative method, postoperative man-agement and clinical Results of the cases were analysed.

Results:180 cases were followed up from 6 months to 6 years, with an average of 26 months. All the cases had normal bony union except 9 cases of delayed union and 2 of non-union. According to Johner-Wruh’s grading standard, excellent results were obtained in 125 cases, good in 40, fair in 12 and poor in 3, with excellent and good ratio of 91.6%.

Conclusion: This treatment method is of merits of minimal incision,stable fixation,small stress shielding,effective in resisting rotation and its biomechanic characteristics meet the requirement of tibia fracture union.
KEY WORDS  Tibial fracture  Fracture fixation,intramedullary  Fracture healing
 
引用本文,请按以下格式著录参考文献:
中文格式:明立功,明新杰,明新广,明立德,张全金.改良梅花髓内针治疗胫腓骨骨折的疗效评价[J].中国骨伤,2002,15(4):202~203
英文格式:MING Li-gong,MING Xin-jie,MING Xin-guang.Treatment of fracture of tibia and fibula with modified cloverleaf type intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(4):202~203
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