尺桡骨髓内钉治疗复杂前臂骨干骨折的临床研究 (pdf)

    [摘要] 目的 评估尺桡骨髓内钉内固定治疗复杂前臂骨干骨折的疗效。方法 2001年4月~2005年3月，手术治疗32例B、C型(AO分型)前臂骨折病人。开放骨折6例；闭合骨折26例。结果 32例骨折患者中，30例获得了随访。骨折愈合时间12~16周，平均13.7周，延迟愈合1例，1例发生了骨折不愈合，改行动力接骨板固定。无感染发生。根据Anderson评分标准，本组病例优18例，良8例，可3例,失败1例；优良率为86.67%。结论 尺桡骨髓内钉内固定结合有限切开及选择性植骨是治疗B、C型(AO分型)前臂骨干骨折的一种可靠且行之有效的技术。

    [关键词] 尺桡骨髓内钉；尺骨；桡骨；骨干骨折

    Intramedullary nail fixation for complicated diaphyseal fractures of forearm

    WANG Xue-fei，ZHANG Ya-kui,YU Zhen-shan.Department of Orthopaedics,Luhe Hospital of Tongzhou District,Beijing 101149,China

    [Abstract] Objective To evaluate the feasibility and outcome of the treatment of diaphyseal fractures of forearm by using intramedullary nail.Methods 32 cases of complicated forearm fractures,6 open and 26 close of Gustilo classification were treated with limited incision and fixation of intramedullary nail.Clinical examination and complications were recorded post-operation.Results Of all the cases,18 obtained excellent and 8 good results according to Anderson’s evaluation.Only one had,nonunion at radius fracture which was gained union after reoperation.No infection was occurred.The average healing time was 13.7 weeks.The average loss of elbow motion,forearm pronation and supination were 12.5 ......