三种内固定在胫腓骨骨折中应用.pdf

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1、第17卷第4期菏泽医学专科学校学报VOL.17NO.42005年JOURNALOFHEZEMEDICALCOLLEGE2005═══════════════════════════════════════════════════════════════════三种内固定在胫腓骨骨折中应用郝鹏（附属菏泽市立医院，山东菏泽274031）摘要：目的观察胫腓骨骨折三种内固定的疗效。方法胫腓骨骨折分别予以普通钢板螺钉、交锁髓内钉、微创经皮钢板内固定。结果随访1～3年，骨折术后愈合时间：普通钢板螺钉组平均5.2个月，交锁

2、髓内钉组平均3.7个月，微创钢板组平均3.6个月；术后深部感染率：普通钢板螺钉组7.8%，交锁髓内钉组3.2%，微创钢板组0%；内固定失效率：普通钢板螺钉组18.9%，，交锁髓内钉组3.2%，微创钢板组为0；术后患肢关节活动优良率：普通钢板螺钉组94.4%，交锁髓内钉组100%，微创钢板组100%。结论微创经皮钢板及交锁髓内钉内固定治疗胫腓骨骨折远期疗效满意，普通钢板螺钉内固定次之。关键词：胫腓骨折/治疗；微创经皮钢板内固定/治疗应用；交锁髓内钉；钢板中图分类号：R683.42；R687.3+2文献标识码：A

3、文章编号：1008-4118（2005）04-0031-03ClinalPracticeofThreeInternalFixationDevicesforTreatmentofTibiaFractureHAOPeng（HezeMunicipalHospitalAffiliatedtoHezeMedicalCollege，Heze274031，Shandong）Abstract：ObjectiveTostudytheeffectofthreeinternalfixationdevice（scommonplate

4、，minimallyinvasiveplateosteosynthesisandinter-lockingintramedullarynail）fortreatingfractureoftibia.MethodsAllpatientsweredividedintothreegroupsrandomly.90patientsweretreatedwithcommonplate；31patientsweretreatedwithinterlockingintramedullarynail；35patientswe

5、retreatedwithminimallyinvasiveplateosteosynthesis.Afterthethreeinternalfixationdeviceswereusedinthefractureoftibia.ResultsAllthepatientswerefollowedfrom1to3years.Theuniontimeswere5.2months，3.7monthsand3.6monthsrespectively.Therateofpostoperativedepthwere7.8

6、%，3.2%and0%respectively.Therateoftheinternalfixationfailurewere18.9%，3.2%and0%respectively.Therateofexcellentandgoodfunctinofkneeandanklejointswere94.4%，100%and100%inthesamples.ConclusionTheresultshowedthatthelong-termeffectofmini-mallyinvasiveplateosteoynt

7、hesisandinterlockingintramedullarynailweremoresatisfactorythanthatofcommonplatefortreatingfractureoftibia.Keywords：Tibiafracture/therapy；Internalfixation/therapeuticuse；Minimallyinvasiveplateosteoynthesis；Interlockingintramedullarynail；Commonplate目前国内常用的胫腓骨

8、骨折内固定有三种方锁定近远端螺钉，术中可取扩髓中绞出髓腔松质骨法，三种方法近远期疗效比较报道较少，为了解不同充填骨折端周缘。术后不予石膏制动，经卧床休息方法的疗效，我们选择了156例胫腓骨骨折进行三8～14d下床部分负重活动。微创经皮钢板内固定组种方法疗效的比较，现报道如下。35例，骨折均采用间接复位手法及骨科牵引床复1临床资料位，复位需经C型臂透视机透视证实。远离骨折端1.1一般资料胫腓骨骨折患者