Meta钉在胫骨远端关节外骨折中的应用

发布时间：2018-06-07 21:23

本文选题：胫骨远端骨折 + 髓内钉　；参考：《中国现代医学杂志》2017年12期

【摘要】：目的探讨Meta钉治疗胫骨远端关节外骨折的适应症和临床疗效。方法选取2012年5月-2014年10月采用Meta钉治疗的12例胫骨远端关节外骨折患者。其中,男性10例、女性2例;年龄23~58岁(平均38.2岁)。按AO分型:A1型3例,A2型4例,A3型5例。所有患者均为闭合性骨折。骨折线距胫骨远端关节面3~5 cm。结果所有患者术后获得随访6~18个月(平均10.2个月),骨折愈合时间12~24周(平均18.6周),无畸形愈合、伤口感染、髓内钉断裂等并发症。患肢踝、膝关节功能采用Johner-Wruhs评分,优7例,良4例,可1例。结论 Meta钉治疗合并严重软组织损伤的胫骨远端关节外骨折疗效良好。
[Abstract]:Objective to investigate the indication and clinical effect of meta nail in the treatment of distal tibial fracture. Methods from May 2012 to October 2014, 12 patients with extraarticular fracture of distal tibia were treated with Meta nail. Among them, 10 cases were males and 2 cases were females, the age was 23 ~ 58 years (mean 38.2 years). According to AO classification, 3 cases of type A 1, 4 cases of type A 2 and 5 cases of type A 3. All patients had closed fractures. The fracture line was 3 cm from the distal articular surface of the tibia. Results all the patients were followed up for 6 ~ 18 months (mean 10.2 months), fracture healing time was 12 ~ 24 weeks (mean 18.6 weeks), no complications such as malunion, wound infection, intramedullary nail breakage were observed. Johner-Wruhs score was used to evaluate ankle and knee joint function in 7 cases, good in 4 cases, fair in 1 case. Conclusion Meta nail is effective in the treatment of extraarticular fracture of distal tibia with severe soft tissue injury.
【作者单位】：北京大学第三医院延庆医院骨科;
【分类号】：R687.3

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