极远端胫骨交锁髓内钉结合阻挡螺钉技术微创治疗胫骨远端骨折

摘要

Objective To introduce minimally invasive fixation of lower tibial fractures with ex- tra-distal interlocking intramedullary nail combined with blocking screw and evaluate itS clinical outcome. Methods Five patients with lower tibial fracture received the fixation with extra-distal interlocking in- trainedullary nail combined with blocking screw.Their clinical data were analyzed.Results They were followed up for a mean time of 22.2 weeks.All patients got normal wound healing,satisfactory reduction andstable fixation.No infection or any other soft tissue complications occurred.Condusion Fixation with extra-distal interlocking intramedullary nail plus blocking screw for lower tibial fractures has advantages of minimal invasion,shorter operative time,stronger fixation and better softtissue protection over traditional open reduction and buttress plate fixation.%目的 介绍极远端胫骨交锁髓内钉结合阻挡螺钉(blocking screw)技术治疗胫骨远端骨折的手术方法 ,并评估初步临床疗效.方法 2007年3月至2007年9月,采用极远端胫骨交锁髓内钉结合阻挡螺钉技术治疗胫骨远端骨折患者5例,男4例,女1例;年龄21～45岁,平均31.8岁.对其临床资料进行分析,并评估其临床疗效.结果 所有患者术后随访时间3～43周,平均22.2周,均达到解剖复位并获得稳定固定,术后伤口均顺利愈合,未发生软组织并发症.结论 与常规切开复位、支撑钢板内固定治疗胫骨远端骨折比较,极远端胫骨交锁髓内钉结合阻挡螺钉技术具有微创、手术时间短、固定可靠、术后软组织恢复好等优点.