王志伟 吴岳嵩 纪方 第二军医大学附属长海医院骨科，上海 200433 临床骨科杂志 1999 0 2 3


    关键词：引钉法； 矩形髓内钉；胫骨骨折；腓骨骨折；骨折固定术，髓内 期刊 lcgkzz 0 临床研究 fur -->


    

【摘要】 目的 避免矩形髓内钉在治疗胫腓骨骨折中髓腔内交叉。方法 应用引钉法矩形髓内钉治疗30例胫腓骨骨折。结果 30例患者的矩形髓内钉均一次打入，无交叉，打钉时间最长48 min，最短10 min，平均25 min。术后优良率为93.33%，无严重并发症。结论 引钉法操作简单，可大大缩短手术时间，且固定可靠。

    【中图分类号】 R683.420.5

Treatment of tibiofibular fractures by nail-guided rectangle-shaped intramedullary nail

Wang Zhiwei, Wu Yuesong, Ji Fang

(Department of Orthopaedics, Changhai Hospital, The 2nd Military Medical University, Shanghai 200433)

【Abstract】 Objective To avoid crossing of rectangle-shaped intramedullary nail in treating tibiofibular fractures. Methods 30 cases of tibiofibular fractures were treated by the nail. Results The nails of 30 cases were all put into tibial marrow without intersection. The longest time to insert nail was 48 minutes and the shortest was 10 minutes, with an average of 25 minutes. 93.3% of patients achieved good and excellent results. No severe complications occurred. Conclusion The technique is quite simple, the fixed effect reliable and the operation time greatly shortened.

    【Key words】 nail-guided method; rectangle-shaped intramedullary nail; tibial fractures; fibular fractures; fracture fixation, intramedullary

矩形髓内钉用于治疗闭合性和开放性胫腓骨骨折均取得良好疗效^〔1〕 ......