【摘要】 目的探讨应用交锁髓内钉治疗前臂尺桡骨粉碎性骨折的可行性与疗效。方法对15例AO分类B型与C型尺桡骨骨折的患者应用Smith-Nephew交锁髓内钉的方法进行有限切开、复位内固定。结果根据Anderson评分标准,优8例,良5例,可2例,平均骨折愈合时间6～10周,平均8.4周,延迟愈合1例,无骨不连与感染发生,肘关节活动范围丧失10°～30°,丧失15.5°,前臂旋前功能丧失15°～50°,平均20.6°,前臂旋后功能丧失20°～40°,平均31.2°。结论采用有限切开交锁髓内钉的方法是治疗前臂粉碎性骨折的良好选择。更多还原

【Abstract】 Objective To discuss the feasibility and efficacy of the treatment of comminuted forearm fractures by using interlocking intramedullary nail. Methods 15 cases of forearm fractures, type B or type C of AO classifieation, were treated with limited incision and fixation of interlocking intramedullary nail made by Smith Nephew company. Results Of all the cases, 8 obtained excellent and 5 good results according to Andersons evaluation. Only one had delayed union, and no nonunion or infection occurred. The average healing time was 8.4 weeks. The average loss of elbow motion, forearm pronation and supination were 15.5, 20.6 and 31.2 degrees, respectively. Conclusion Limited incision and interlocking intramedullary nailing is an advisable method for the treatment of comminuted forearm fractures.更多还原