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交锁髓内钉在骨折治疗中的应用

Interlocking Intramedullary Nails in Fracture Treatment.

作者信息

Ouyang Xiao, Wang Jing Rong, Hong Shi Dong, Xin Feng, Wang Lin, Yang Xiao Wei, Wang Jian

机构信息

Department of Orthopedic Surgery, Affiliated Xuzhou Hospital of Jiangsu University, Xuzhou 3rd Hospital, Xuzhou, China.

Hospital Administration Office, Affiliated Xuzhou Hospital of Jiangsu University, Xuzhou 3rd Hospital, No. 131 Huancheng Road, Xuzhou, 221005, China.

出版信息

Cell Biochem Biophys. 2015 Sep;73(1):261-5. doi: 10.1007/s12013-015-0622-8.

DOI:10.1007/s12013-015-0622-8
PMID:25733334
Abstract

The aim of this study is to evaluate interlocking intramedullary nails in the treatment of fractures. We retrospectively reviewed 68 adult patients (for a total of 95 fractures) with isolated long-bone fractures who were treated with interlocking intramedullary nails between January 2010 and January 2012. The patients were followed for 18 months to observe the healing of the fracture, time, and the occurrence of complications in the shoulder, knee, and hip joint functions. After about a follow-up period of 26.2 months (range 18-39 months), all cases obtained bony union. The mean time to fracture union was 5.2 months. Cases of knees and hip joint functions of the femoral or tibial fracture and shoulder functions of the humeral fractures were observed. The interlocking intramedullary nails may be considered as an alternative method for isolated diaphyseal fractures of the extremities. The advantages of this method include small operative scars, reliable fixations, better fracture healings, and fewer complications.

摘要

本研究的目的是评估交锁髓内钉治疗骨折的效果。我们回顾性分析了2010年1月至2012年1月期间,68例接受交锁髓内钉治疗的单纯长骨骨折成年患者(共95处骨折)。对患者进行了18个月的随访,观察骨折愈合情况、时间以及肩、膝、髋关节功能并发症的发生情况。经过约26.2个月(范围18 - 39个月)的随访,所有病例均获得骨性愈合。骨折愈合的平均时间为5.2个月。观察了股骨或胫骨骨折患者的膝关节和髋关节功能情况以及肱骨骨折患者的肩关节功能情况。交锁髓内钉可被视为治疗四肢单纯骨干骨折的一种替代方法。该方法的优点包括手术疤痕小、固定可靠、骨折愈合良好且并发症较少。

相似文献

1
Interlocking Intramedullary Nails in Fracture Treatment.交锁髓内钉在骨折治疗中的应用
Cell Biochem Biophys. 2015 Sep;73(1):261-5. doi: 10.1007/s12013-015-0622-8.
2
[Effect of blocking screws on breakage of interlocking intramedullary nails].[阻挡螺钉对带锁髓内钉断裂的影响]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2007 Mar;21(3):282-4.
3
Use of locking compression plates for long bone nonunions without removing existing intramedullary nail: review of literature and our experience.在不取出现有髓内钉的情况下使用锁定加压钢板治疗长骨骨不连:文献综述及我们的经验
J Trauma. 2008 Aug;65(2):482-6. doi: 10.1097/TA.0b013e31817c9905.
4
Comparison of our self-designed rotary self-locking intramedullary nail and interlocking intramedullary nail in the treatment of long bone fractures.我们自行设计的旋转自锁髓内钉与交锁髓内钉治疗长骨骨折的比较。
J Orthop Surg Res. 2014 Jul 21;9:47. doi: 10.1186/1749-799X-9-47.
5
Intramedullary nailing without interlocking screws for femoral and tibial shaft fractures.交锁髓内钉治疗股骨干和胫骨干骨折。
Arch Orthop Trauma Surg. 2013 Aug;133(8):1109-13. doi: 10.1007/s00402-013-1775-9. Epub 2013 May 23.
6
[Intramedullary fixation of humerus shaft fractures. An analysis of complications of 2 implants with special reference to outcome after management with the unreamed humerus interlocking nail].肱骨干骨折的髓内固定。两种植入物并发症分析,特别提及非扩髓肱骨交锁髓内钉治疗后的结果
Wien Klin Wochenschr. 2001 Aug 16;113(15-16):597-604.
7
[Interlocking intramedullary nailling and micro-invasive internal fixation with plate for multiple segmental tibiofibular fractures: a case-control study].[交锁髓内钉与微创钢板内固定治疗多节段胫腓骨骨折的病例对照研究]
Zhongguo Gu Shang. 2015 Apr;28(4):363-7.
8
[Modified retrograde rotative-type interlocking intramedullary nail for humeral shaft fractures].[改良逆行旋转式交锁髓内钉治疗肱骨干骨折]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Jul;25(7):811-5.
9
Outcome of intramedullary interlocking SIGN nail in tibial diaphyseal fracture.交锁髓内SIGN钉治疗胫骨干骨折的疗效
J Coll Physicians Surg Pak. 2013 Mar;23(3):203-7.
10
Intramedullary nailing of femoral shaft fractures. Part II: Fracture-healing with static interlocking fixation.股骨干骨折的髓内钉固定。第二部分:静力交锁固定下的骨折愈合
J Bone Joint Surg Am. 1988 Dec;70(10):1453-62.

引用本文的文献

1
Feasibility of non-radical resection combined with internal fixation for adolescents with lower limb fibrous dysplasia: a single-center retrospective study with a small sample size.非根治性切除联合内固定治疗青少年下肢骨纤维发育不良的可行性:一项小样本单中心回顾性研究
J Orthop Traumatol. 2025 Apr 25;26(1):24. doi: 10.1186/s10195-025-00838-x.
2
Fast and accurate distal locking of interlocked intramedullary nails using computer-vision and a 3D printed device.使用计算机视觉和3D打印设备实现交锁髓内钉的快速准确远端锁定
3D Print Med. 2024 Aug 7;10(1):28. doi: 10.1186/s41205-024-00221-2.