采用交锁髓内钉治疗的胫骨干节段性骨折。

Segmental tibial shaft fractures treated with interlocking nailing.

作者信息

Wu C C, Shih C H

机构信息

Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taiwan, Republic of China.

出版信息

J Orthop Trauma. 1993;7(5):468-72. doi: 10.1097/00005131-199310000-00010.

DOI:10.1097/00005131-199310000-00010

PMID:8229384

Abstract

Thirty-eight segmental tibial shaft fractures were treated with closed Grosse-Kempf interlocking nails and retrospectively followed up for > or = 1 year (average 32 months). There was a 97% union rate and a 4.5 +/- 1.6 month union period. Knee as well as ankle range of motion was satisfactory. Significant complications included one aseptic nonunion (3%), which healed after the static locked nail was dynamized. We recommend that whenever possible, closed interlocking nailing should be used to treat closed or mild open (wound size < 1 cm) segmental tibial shaft fractures.

摘要

38例胫骨干节段性骨折采用闭合Grosse-Kempf交锁髓内钉治疗，并进行回顾性随访，随访时间≥1年（平均32个月）。骨折愈合率为97%，愈合时间为4.5±1.6个月。膝关节和踝关节的活动范围令人满意。主要并发症包括1例无菌性骨不连（3%），在将静力锁定髓内钉改为动力锁定后愈合。我们建议，只要有可能，闭合交锁髓内钉应被用于治疗闭合性或轻度开放性（伤口大小<1 cm）的胫骨干节段性骨折。