中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6522-6526.doi: 10.3969/j.issn.1673-8225.2011.35.015

• 骨科植入物 orthopedic implant • 上一篇    下一篇

扩张自锁髓内钉与锁定钢板置入治疗胫骨干闭合骨折的比较

马雪海1，郑  进1，郑圣鼐2，唐  城2，徐  燕2   

  1. 1淮安市楚州医院骨科，江苏省淮安市  223200
    2南京医科大学附属南京第一医院骨科，江苏省南京市  210006
  • 收稿日期:2011-06-01 修回日期:2011-07-26 出版日期:2011-08-27 发布日期:2011-08-27
  • 通讯作者: 郑圣鼐，博士，副主任医师，南京医科大学附属南京第一医院骨科，江苏省南京市 210006 superyqq@shou.com
  • 作者简介:马雪海，男，1965年生，江苏省淮安市人，汉族，1989年南通医学院毕业，副主任医师，主要从事脊柱外科方面的研究。 maxuehaicz@sohu.com 并列第一作者：郑进，男，1959年生，江苏省淮安市人，汉族，1999年徐州医学院毕业，副主任医师，主要从事脊柱外科方面的研究。 zhengjincz@sohu.com

Self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fractures

Ma Xue-hai1, Zheng Jin1, Zheng Sheng-nai2, Tang Cheng2, Xu Yan2   

  1. 1Department of Orthopedics, Chuzhou Hospital, Huaian  223200, Jiangsu Province, China
    2Department of Orthopedics, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing  210006, Jiangsu Province, China
  • Received:2011-06-01 Revised:2011-07-26 Online:2011-08-27 Published:2011-08-27
  • Contact: Zheng Sheng-nai, Doctor, Associate chief physician, Department of Orthopedics, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, Jiangsu Province, China superyqq@shou.com
  • About author:Ma Xue-hai, Associate chief physician, Department of Orthopedics, Chuzhou Hospital, Huaian 223200, Jiangsu Province, China maxuehaicz@sohu.com Zheng Jin, Associate chief physician, Department of Orthopedics, Chuzhou Hospital, Huaian 223200, Jiangsu Province, China zhengjincz@sohu.com Ma Xue-hai and Zheng Jin contributed equally to this paper.

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307

被引次数

12

摘要：

背景：采用扩张自锁髓内钉置入治疗简单闭合性骨折具有操作简单，无需交锁等优势。
目的：对比扩张自锁髓内钉置入内固定与锁定钢板置入内固定治疗胫骨干闭合骨折的临床效果。
方法：分别采用自锁髓内钉与锁定钢板置入内固定治疗胫骨闭合性骨折。记录两组手术时间、出血量、术中与术后并发症、下地时间、骨折愈合时间、置入后1年膝关节KSS评分结果。
结果与结论：自锁髓内钉组手术时间、出血量均低于锁定钢板内固定组(P < 0.05)、下地时间快于锁定钢板内固定组(P < 0.05)，两组术中与术后并发症发生率、骨折愈合时间、置入后1年膝关节KSS评分及生物相容性差异无显著性意义。提示采用髓内扩张自锁髓内钉置入治疗胫骨干闭合骨折更微创，具有手术时间短，下地时间早等优势。

关键词: 扩张自锁髓内钉, 髓内钉, 内固定, 胫骨, 骨折, 骨科植入物

Abstract:

BACKGROUND: Because the operation technique of self-locking expandable intramedullary nail is relatively simple, it has some advantages in the treatment of simple closed tibial fracture.
OBJECTIVE: To investigate and discuss the feasibility and clinical outcome of self-locking expandable intramedullary nail versus locking plate in the treatment of closed tibial shaft fracture.
METHODS: In self-locking expandable intramedullary nail group, 15 cases were operated. In locking plate group, 16 cases were operated. Time of operation, the intra-operative blood loss, the rate of complications, time of leave bed, time of bone union, the KSS score of the knee were recorded.
RESULTS AND CONCLUSION: The time of operation and intra-operative blood loss in self-locking expandable intramedullary nail group were lower than those in locking plate group (P < 0.05), while the time of leave bed was shorter in the self-locking expandable intramedullary nail group (P < 0.05). There were no statistical differences in the perioperative or postoperative complications, the time of bone union, and the KSS score of the knee in the two group. It may be an appropriate technique for using self-locking expandable intramedullary nail to treat closed tibial shaft fracture.

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