Zhang D H, Yang H F, Zhan R S
Department of Orthopeadics, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Hunan Yi Ke Da Xue Xue Bao. 2001 Aug 28;26(4):392-4.
To analyse retrospectively the results of thirty-eight fractures of the tibial and fibular treated with reamedintramedullary interlocking nail from May 1997 to June 2000. The patients were followed for an average of 14.6(range: 6-32) months. The mean age was 32.8(range: 18-64) years, the sex distribution was 29 males and 9 females. 26 fractures were closed (One case was failure of plate and screws) and 12 were opened: 6 were graded I, 4 were II, 2 IIIa, according to Gustilo's classification. A solid union was achieved in all patients within a period of 6 months. There were no deep infections except one case of superficial infection. Cases of deformity or peroneal nerve injury were no noticed. It is believed that reamed intramedullary interlocking nail allows a stable and safety fixation in open or closed tibial and fibular fractures.
回顾性分析1997年5月至2000年6月间采用扩髓带锁髓内钉治疗的38例胫腓骨骨折的结果。患者平均随访14.6个月（范围：6 - 32个月）。平均年龄32.8岁（范围：18 - 64岁），性别分布为男性29例，女性9例。26例骨折为闭合性骨折（1例钢板螺钉固定失败），12例为开放性骨折：根据Gustilo分类，6例为I级，4例为II级，2例为IIIa级。所有患者均在6个月内实现牢固愈合。除1例浅表感染外，无深部感染发生。未发现畸形或腓总神经损伤病例。认为扩髓带锁髓内钉在开放性或闭合性胫腓骨骨折中能提供稳定且安全的固定。
