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| 題 名 | Treatment of Unstable Tibial Fractures with Interlocking Nail versus Ender Nail: A Prospective Evaluation=不穩定脛骨骨折以Ender氏釘或互鎖式骨釘治療之比較 |
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| 作 者 | 邱方遙; 羅惠熙; 陳全木; 陳天雄; 黃清貴; | 書刊名 | 中華醫學雜誌 |
| 卷 期 | 57:2 1996.02[民85.02] |
| 頁 次 | 頁124-133 |
| 分類號 | 416.26 |
| 關鍵詞 | Ender氏釘; 互鎖式骨髓內釘; 脛骨骨折; Ender's nail; Interlocking nail; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景 不穩定脛骨骨折之手術治療方式眾多,此研究之目的在探討 Ender氏釘及互鎖式骨釘在脛骨骨折治療之優劣。 方法 本院於1911年1月至1992年5月,選擇了107位不穩定脛骨骨折的病人 納入研究,隨機性地,61位互鎖式骨髓內釘固定,46位以Ender氏釘固定,並 且經過一年以上的追蹤,依據我們先前所擬好的特別記錄分析表,以比較兩種 方法在治療前、中、後的應用性、使用性、對骨折癒合的影響及合併症等臨床 上結果。 結果 在互鎖式骨髓內釘平均出血量265c.c.手術時間61分鐘,住院天數l0.4天, Ender氏釘平均出血量135c.c.手術時間32分鐘,住院天數8.3天,骨折癒合的時 間互鎖式骨髓內釘比Ender氏釘平均早4週。 結論 我們初步的結論是:(1)對較接近或位於骨幹垢端之脛骨骨折,Ender氏釘 為較佳的內固定器。(2)對較粉碎的骨折(Winquist第III、IV),互鎖式骨髓內釘是 較適合的內固定器。(3)對較不粉碎的骨折,以互鎖式骨髓內釘及Ender氏釘皆 為極理想之內固定器。 |
| 英文摘要 | Background. For unstable tibial fractures, there are many methods of surgical treatment. The efficacy of the Ender nail and the interlocking nail in the treatment of such fractures is examined. Methods. One hundred and seven cases of unstable tibial shaft fractures were collected for the prospective study. Randomly, 61 tibia were fixed with interlocking nails and 46, with Ender nails. The mean follow-up period was 30.5 (23 to 40) months. The results of the different treatments were compared. Results. In the group with interlocking nails, the average blood loss was 265 cc; operation time was 61 minutes; hospital days were 10.4; and union time was 15.1 weeks for closed fractures and 17 weeks for Winquist-Hansen type III and IV fractures. In the group with Ender nails, the average blood loss was 135 cc, operation time was 32 minutes, hospital days were 8.3 days, and union time was 17.6 weeks for closed fractures and 22.5 weeks for Winquist-Hansen type III and IV fractures. Student t-test revealed statistically significant difference between the groups in all of the data described above. However, treatment with the different nails showed no significant difference in results for open type I and II fractures. Conclusions. Ender nail still has its superior usefulness in some aspects of treatment of less comminuted unstable tibial shaft fractures, but for the more comminuted unstable tibial shaft fractures, the interlocking nail is undoubtedly better used. |
本系統中英文摘要資訊取自各篇刊載內容。