【摘要】 目的:探讨在不同状态下的胫骨骨折的合理固定方法。方法:收集我院1997年1月到2003年7月共105名胫骨骨折患者(共108个肢体),回顾性调查了受伤原因、创伤能量分级、骨折类型、骨折形状,以及年龄与骨折愈合的关系,并进行了Logistic回归分析。结果:高能量损伤共49例,发生延迟愈合和骨不连43例(39.1％);开放性骨折39例,发生延迟愈合和骨不连28例(25.9％);年龄>50岁者8例(6.5％),发生延迟愈合和骨不连7例,其比率均较低能量损伤高(P<0.05)。结论:针对高能量损伤致高龄患者的开放性骨折制定合理的治疗方案是胫腓骨骨折治疗提高成功率的关键。更多还原

【Abstract】 objective: This study was conducted to determine retrospectively the factors influenced fracture healing and risk for nonunion in patients with tibial shaft fractures. Methods: 105 patients with 108 tibial shaft fractures were reviewed. Fractures were classified according to the AO classification system. Fracture pattern, soft-tissue condition, level of energy of the trauma, malalignment, and treatment methods were identified.logistic regression was used to analyzed the data. Results: With 49 cases of high energy trauma, 43 cases were found delay healing and nonunion (39.1%); and 39 cases open born fracture, 25 cases were found delay healing and nonunion (25.9%); In 8 cases of the age older than 50 years old patient (6.5%), 7 cases were found delay healing and nonunion, the ration was higher (P< 0.05). Conclusion: It is important to consider the risk of healing complications when planning the appropriate treatment method in the early stage after the injury.更多还原