| 交锁髓内钉治疗胫骨远端干骺端移位骨折对骨折愈合及踝关节功能的影响 |
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| 引用本文： | 周永顶,贾海升,索鹏.交锁髓内钉治疗胫骨远端干骺端移位骨折对骨折愈合及踝关节功能的影响[J].湛江医学院学报,2007,25(6):628-630. |
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| 作者姓名： | 周永顶 贾海升 索鹏 |
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| 作者单位： | 广东省江门市五邑中医院暨南大学医学院第六附属医院，广东省江门市五邑中医院暨南大学医学院第六附属医院，广东省江门市五邑中医院暨南大学医学院第六附属医院 广东江门 529031，广东江门 529031，广东江门 529031 |
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| 摘 要： | 目的评估用交锁髓内钉结合早期石膏外固定治疗胫骨远端干骺端骨折的疗效。方法用闭合复位胫骨交锁钉配合早期石膏外固定治疗20例离关节面5cm以内的胫骨远端干骺端骨折。结果20例骨折平均17.2周愈合良好。术后1a Johner-Wruths评分16例为优,4例为良;lowa评分平均为92.4分,17例优,3例良。20例均无不良并发症发生。结论交锁髓内钉配合早期石膏托外固定治疗胫骨远端干骺端骨折疗效可靠。
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| 关 键 词： | 交锁髓内钉 胫骨远端骨折 踝关节 骨愈合 |
| 文章编号： | 1005-4057（2007）06-0628-03 |
| 收稿时间： | 2007-08-23 |
| 修稿时间： | 2007-10-18 |
Effect of interlocking nail on bone union and ankle function in distal tibia fracture |
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| ZHOU Yong-ding,JIA Hai-sheng,SUO Peng.Effect of interlocking nail on bone union and ankle function in distal tibia fracture[J].Journal of Guangdong Medical College,2007,25(6):628-630. |
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| Authors: | ZHOU Yong-ding JIA Hai-sheng SUO Peng |
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| Institution: | Department of Orthopaedics, Jiangmen Wuyi Hospital of TCM, Jiangmen 529031, China |
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| Abstract: | Objectives To evaluate the effect of interlocking nail with early cast on fracture of distal tibia on bone union and ankle function.Methods Twenty cases of distal tibia fracture were treated with interlocking nail and early cast.Results The fracture of all cases was united well 17.2 weeks on the average after the treatment.One year after the operation,the recovered grades were excellent in 16 cases and good in 4 cases according to John-Wruths classification,and excellent in 17 cases and good in 3 cases according to lowa classification with 92.4 scores on the average.No cases had severe complication.Conclusion The in- terlocking nail with early cast may be effective and reliable to treat the distal tibia fracture. |
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| Keywords: | Interlocking nail fracture of distal tibia ankle bone union |
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