陈少伟 李文波 石杰 杨伟铎 王扶卉 高秋明

    【摘要】 胫骨干骨折是临床上常见的骨折之一，常常发生于较大的暴力创伤中。在解剖上，胫骨前内侧的软组织较少，缺乏肌肉覆盖，复位不好可致畸形愈合或下肢短缩，严重影响预后。目前胫骨干骨折主要以手术治疗为主，包括切开复位钢板螺钉内固定术、微创钢板接骨术、髓内钉和外固定架，无移位或轻度移位的骨折可行石膏或支具固定。由于胫骨的特殊解剖学特点，脛骨干骨折容易出现感染、神经血管损伤、畸形愈合及骨不连等一系列潜在并发症。因此，胫骨干骨折的治疗常常是骨科的热点问题。本文对胫骨干骨折手术治疗的研究进展进行综述，以期为临床实践操作提供参考。

    【关键词】 手术治疗 胫骨骨折 钢板 髓内钉 外固定架

    Research Progress in Surgical Treatment of Tibial Shaft Fracture/CHEN Shaowei， LI Wenbo， SHI Jie， YANG Weiduo， WANG Fuhui， GAO Qiuming. //Medical Innovation of China， 2023， 20(36)： -178

    [Abstract] Tibial shaft fracture is one of the most common fracture in clinical practice， which often occurs in large violent trauma. Anatomically， the anteromedial side of the tibia has less soft tissue and lack of muscle coverage. Poor reduction can lead to malunion or lower limb shortening， which seriously affects the prognosis. At present， tibial shaft fractures are mainly treated by surgery， including open reduction and steel plate screw internal fixation， minimally invasive steel plate osteosynthesis， intramedullary nail and external fixator， undisplaced or slightly displaced fractures may be immobilized with plaster or brace. Due to the special anatomical characteristics of tibia ......