磁力导航META-NAIL锁定型胫骨髓内钉髌上入路治疗胫骨干骨折的优势

发布时间：2019-03-26 11:45

【摘要】：背景:磁力导航META髓内钉结合髌上入路是治疗胫骨干骨折的一种新颖手术方式,较传统手术方式有明显的优势。目的:回顾性分析磁导航META髓内钉结合髌上入路治疗胫骨干骨折的特点。方法:收集58例胫骨干骨折患者的病历资料进行回顾性分析,患者均为单侧闭合骨折,均应用磁力导航META-NAIL锁定型胫骨髓内钉髌上入路内固定治疗。术后预防性使用抗生素,术后3d开始进行无负重功能锻炼,平均12周后进行完全负重功能锻炼。结果与结论:①内固定后24周Lysholm评分为83-95分,平均90分;②Johner-Wruh标准评价临床优良率约为95%;③手术时间平均为65 min,出血量平均为30 mL;④内固定后随访中无患者出现患肢膝关节疼痛;(5)所有患者未出现伤口不愈合、感染、骨不连、骨髓炎、畸形愈合等并发症;(6)回顾性分析结果表明,应用磁力导航META-NAIL锁定型胫骨髓内钉髌上入路内固定治疗胫骨干骨折,手术时间短、复位满意、固定可靠;可避免切开髌腱等组织,减少膝前疼痛率;术后能够早期功能锻炼,临床效果满意。
[Abstract]:Background: magnetic navigation META intramedullary nail combined with suprapatellar approach is a novel surgical method for the treatment of tibial shaft fractures, which has obvious advantages over traditional surgical methods. Objective: to retrospectively analyze the characteristics of magnetic navigation META intramedullary nail combined with suprapatellar approach in the treatment of tibial shaft fracture. Methods: the clinical data of 58 patients with tibial shaft fracture were retrospectively analyzed. All patients were unilateral closed fractures. All patients were treated by magnetic navigation META-NAIL locking tibial intrapatellar nail fixation. Prophylactic antibiotics were used after operation, and no weight-bearing exercise was performed 3 days after operation, and complete load-bearing exercise was performed after 12 weeks on average. Results and conclusion: 124 weeks after internal fixation, the Lysholm score was 83 ~ 95 (mean 90), and the 2Johner-Wruh standard was 95% / 3, 65 min, average bleeding volume was 30 mL;, and the clinical excellent and good rate was 95%, the mean operative time was 65 min, and the average blood loss was 30 mL; in 24 weeks after internal fixation. (5) there were no complications such as wound nonunion, infection, nonunion of bone, osteomyelitis and malunion in all patients. (6) the results of retrospective analysis showed that the application of magnetic navigation META-NAIL locking tibial intrapatellar approach in the treatment of tibial shaft fractures had the advantages of short operation time, satisfactory reduction and reliable fixation. Can avoid incision patellar tendon and other tissues, reduce the rate of pain before the knee; postoperative early functional exercise, clinical results are satisfactory.
【作者单位】：榆林市第一医院骨科;
【分类号】：R687.3

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