采用缩短型髓内钉治疗胫骨干远端骨折及骨不连。
Distal tibial fractures and non-unions treated with shortened intramedullary nail.
作者信息
Megas P, Zouboulis P, Papadopoulos A X, Karageorgos A, Lambiris E
机构信息
Orthopaedic Department, Patras University Hospital, 26504 Rio-Patras, Greece.
出版信息
Int Orthop. 2003;27(6):348-51. doi: 10.1007/s00264-003-0499-9. Epub 2003 Aug 15.
Abstract
We reviewed 18 patients, 14 with acute fractures and four with non-union of the distal tibia, treated between 1990 and 2001 with a shortened, reamed intramedullary nail. The mean follow-up was 38 (8-144) months. The fractures united at an average of 16 (12-18) weeks and the non-unions at 20 (12-30) weeks. Two patients required nail dynamization. No limb shortening nor material failures were seen. All patients returned to normal daily activities. Although technically demanding, intramedullary nailing for distal tibial fractures and non-unions with a shortened nail represents a safe and reliable method.
摘要
我们回顾了1990年至2001年间接受短缩扩髓髓内钉治疗的18例患者，其中14例为急性骨折，4例为胫骨远端骨不连。平均随访时间为38（8 - 144）个月。骨折平均在16（12 - 18）周愈合，骨不连在20（12 - 30）周愈合。2例患者需要进行髓内钉动力化。未发现肢体短缩或内固定失败。所有患者均恢复了正常日常活动。尽管技术要求较高，但使用短缩髓内钉治疗胫骨远端骨折和骨不连是一种安全可靠的方法。
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