新型胫骨分叉式交锁髓内钉应用

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1、Theapplicationofanewforkinterlockingintramedullarynailfortibialfracture新型胫骨分叉式交锁髓内钉的应用大连市骨科医院王国华Methods方法Forkintralockingintramedullarynail(FLN)Grosse–Kempt(GK)Rectanglenail(RN)8-holeplante(8PT)Plumblossomnail(PBN)Endersnail(EN)分叉式交锁髓内钉GK钉（静力性交锁钉）矩形钉8孔钢板梅

2、花钉Ender钉Comparison比较Anti-compressionAnti-bendingAnti-torsionRigidityFLN=GKFLN>RN,8PT,PBN,EN抗轴向压缩抗弯曲抗扭转强度Casereport病例汇报Tibialfracture169casesFollow>3months147Averagehealingperiod19.6weeksExcellentrate96.5%Fair1.3%Failure2.2%胫骨骨折169例随访》3个月147例平均骨折愈合时间19.6周优

3、良率96.5%一般1.3%差2.2%Complication并发症Externalrotationdeformities5casesValgusdeformities4casesVarusdeformities2casesShortening-displacements6casesPainatthenail-entrypoint16casesInfectionrate1.6%Peronealnerveinjury1casesDelayedpostoperativeinfection3cases外旋畸形5例

4、外翻畸形4例内翻畸形2例短缩移位6例膝关节进针点疼痛16例感染率1.6%腓总神经损伤1例术后发生迟发感染3例Combinedandseperatedfigureofforknail分叉钉组合，分解图CaseX-ray病例X胫骨中段骨折术前Casex-ray病例X术后3天Casex-ray病例X术后3个月Casex-ray病例X术后1年Casex病例X（一钉两用）胫骨下段骨折术前Casex病例X（一钉两用）FLN固定Operationpath手术入路ClassicoperationpathNewoperat

5、ionpath胫骨平台下方0.5-1CM处纵行劈开膑韧带胫骨平台中点、前缘下方0.5CM以内该点偏离胫骨结节水平距离约0.5CM，恰巧位于中轴线上.(不切膑韧带）Conclusion结论FLNisaneffectiveandconvenientimplanttotreattibialfractureInseverelycomminutedfractureanddistalshaftfracture,thedistalholecoundbeinsertedwithtwotransversescrewssim

6、ilartoGK,whichcanwidenitsindicationFLN是一种方便有效治疗胫骨骨折的方法、对于严重胫骨粉碎性骨折和下段骨折者远端改以两枚横行锁钉，与GK钉相同，具有一钉两用，手术适应征广等特点ThankyouEveryone