【摘 要】 目的:探讨交锁髓内钉治疗股胫骨骨折的并发症及其预防。方法:92例股胫骨骨折,均采用交锁髓内钉内固定。结果:随防半年以上70例,在38例开放性骨折中,有1例骨折迁延愈合,时间超过半年,其余均在半年内愈合;远端放置失败2例,术中再骨折1例,术后肢体延长1例,远端锁钉断裂1例,轻度膝外翻1例。92例手术均无继发骨筋膜综合征、神经损伤、主钉断裂情况。结论:通过对并发症发生的研究,用交锁髓内钉治疗股胫骨折,应注意:粉碎性骨折病人应延迟负重时间,其次需要严格掌握适应征,再次交锁钉的使用需专门的操作技术,需严格按步骤、规程,熟练掌握。

    【关键词】 交锁髓内钉 股胫骨骨折 内固定 并发症

    Clinical analysis of lock and nail fracture complication of one stream syndromes

    Zhang Xiangming,et al

    【Abstract】 Objective:Discuss and lock and nail the complication and prevention which treats one stream of shin bones fracture in the marrow.Method:92 streams of shin bone fracture, lock marrow regular in nailing to pay to adopt.Result:Defend more than 70 for less than half a year at the same time, among 38 open fracture, have 1 example fracture heal to delay, time exceeds half a year, the others heal within half a year; fail 2 to put to carry far, skill fracture one more, the limbs lengthens one behind the skill, rupture 1 to nail to lock to carry far, slight in knee 1.92 operation send bone muscle membrane syndrome, nerve to damaged, mainly nail the fracture situation to continue to have.Conclusion:Through to research that complication take place, with lock marrow treat a shin bone roll over to nail to pay, should notice:The comminuted fracture patient should delay the time of shouldering a heavy task, secondly need grasping and adapting to solicitting strictly, pay use nailed to lock take special operating technology, take to rigorously enforce according to the step, rules again, master skillfully. ......