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1、闭合复位可膨胀自锁髓内钉治疗胫骨骨折12例效果分析［摘要］目的观察可膨胀自锁髓内钉(FTXTONTM)在治疗胫骨骨折中的临床效果。方法选择苏州市中医医院2010年10月〜2013年6月收治的胫骨骨折患者12例，均为AO分型中A、B型胫骨中段或中下段骨折。均采用FTXTONTM固定。观察术后愈合情况，采用Johner-Wruh标准评分评价疗效。结果12例患者均获随访5〜16个月，平均12个月。12例患者骨折均复位满意，术后切口一期愈合，骨折临床愈合时间3~10个月，平均5个月。12例患者均未发生旋转畸形、骨折不愈合、内固定断
2、裂再骨折、感染情况，愈后膝踝关节功能正常。参照Johner-Wruh标准评定疗效,优10例，良2例。木组病例出现1例8mm短缩畸形，不影响正常行走。结论FIXIONIM系统节省扩髓和锁钉的操作，降低了手术创伤及术屮出血;其轴向固定及闭合复位减少了断端骨膜剥离，增加了内固定牢度，从而缩短骨折愈合时间，并且减少了骨折不愈合、内固定断裂等并发症。［关键词］可膨胀自锁髓内钉；胫骨骨折；内固定［中图分类号］R658［文献标识码］A［文章编号］1673-7210(2013)11(c)-0078-03Effectanalysisofcl
3、osedreductionandexpandableintramedullarynailsfortibialshaftfracturein12patientsDUANXingxingCHENYongzhenMENGXiangqiDepartmentofOrthopedics,SuzhouHospitalofTraditionalChineseMedicine,JiangsuProvince,Suzhou215003,China[Abstract]ObjectiveToobservetheclinicaleffectofex
4、pandableintramedullarynail(FTXTONTM)inthetreatmentoftibialfracture.Methods12patientswithtibiafracturesfromOctober2010toJune2013inSuzhouHospitalofTraditionalChineseMedicinewereselected,allofthemweremiddletibiafractureormiddle-lowertibiafractureoftypeAandB；allofthem
5、weretreatedwithFTXTONTM.卩ostoperativehealingoftibiafracturewasobserve,curativeeffectwasevaluatedbybyJohner-Wruhstandardscore・Results12caseswerefollowedupfor5~16months(meantimewas12months)・Satisfiedfracturereductionwasfoundin12patients,allthepostoperativeincisionwe
6、reprimaryhealing；clinicalhealingtimeoffractureswere3~10months,theaveragewere5months・Norotationaldeformity,nonunion,internalfixationfractureandrefracture,infectionwasfoundamongthe12patients,kneeanklefunctionwereallnorma1.10casesofexcellentcurativeeffectand2casesofg
7、oodcurativeeffectwerefoundaccordingtotheJohner-Wruhstandardscore.8mmshorteningdeformitywasfoundin1caseandtherewasnoaffecttothenormalwalking・ConclusionFIXIONIMeconomizethereamingandintramedullarynailoperation,reducetheoperationtraumaandbleedingduringoperation；theax
8、ialfixationandclosedreductionreduceperiostealstrippingtothethebrokenend,increasethefixationfastness,soitcanshortenthehealingtimeoffracture,andreducethen
