矩形髓内钉治疗儿童胫腓骨干骨折

• 作 者: 张传开 宋一平 陈启忠 王善松
• 机 构: 解放军97医院骨科,解放军97医院骨科,解放军97医院骨科,解放军97医院骨科 江苏徐州 221004,江苏徐州 221004,江苏徐州 221004,江苏徐州 221004
• 出 处: 中国解剖与临床
• 发表日期: 2000年04期
• 关键词: 胫腓骨干骨折 矩形髓内钉固定 矩形髓内钉 骨愈合时间 髓内固定 螺旋型骨折 斜型骨折 陈旧性骨折 横型骨折 新鲜骨折

目的:介绍一种治疗儿童胫腓骨干骨折的方法。方法:用矩形髓内钉固定治疗儿童胫腓骨骨折12例,其中陈旧性骨折4例,余为新鲜骨折;横型骨折3例,短斜型骨折6例,螺旋型骨折1例,多段骨折2例。结果:12例均获随访,随访时间6个月～4年,平均2年。骨愈合时间45～80天,平均50天。无1例延迟愈合或不连,关节功能良好。结论:该方法具有损伤轻、操作简单、术后康复快等优点。

Objective: To introduce a method of treating tibiofibular shaft fractures in children. Methods: Rectangular intramedullary nailing was used to treat 12 cases of tibiofibular fractures in children, including 4 cases of old fractures, more than 1 cases of fresh fractures; 3 cases of transverse fractures, 6 cases of short oblique fractures, 1 case of spiral fractures and 2 cases of multiple fractures . Results: All the 12 cases were followed up for 6 months to 4 years with an average of 2 years. Bone healing time 45 to 80 days, an average of 50 days. No case of delayed union or nonunion, joint function well. Conclusion: This method has the advantages of light injury, simple operation and quick recovery after operation.