新型胫骨分叉式交锁髓内钉的应用.ppt

Theapplicationofanewforkinterlockingintramedullarynailfortibialfracture,新型胫骨分叉式交锁髓内钉的应用,Methods方法,Forkintralockingintramedullarynail(FLN)GrosseKempt(GK)Rectanglenail(RN)8-holeplante(8PT)Plumblossomnail(PBN)Endersnail(EN),分叉式交锁髓内钉GK钉（静力性交锁钉）矩形钉8孔钢板梅花钉Ender钉,Comparison比较,Anti-compressionAnti-bendingAnti-torsionRigidityFLN=GKFLNRN,8PT,PBN,EN,抗轴向压缩抗弯曲抗扭转强度,Casereport病例汇报,Tibialfracture169casesFollow3months147Averagehealingperiod19.6weeksExcellentrate96.5%Fair1.3%Failure2.2%,胫骨骨折169例随访3个月147例平均骨折愈合时间19.6周优良率96.5%一般1.3%差2.2%,Complication并发症,Externalrotationdeformities5casesValgusdeformities4casesVarusdeformities2casesShortening-displacements6casesPainatthenail-entrypoint16casesInfectionrate1.6%Peronealnerveinjury1casesDelayedpostoperativeinfection3cases,外旋畸形5例外翻畸形4例内翻畸形2例短缩移位6例膝关节进针点疼痛16例感染率1.6%腓总神经损伤1例术后发生迟发感染3例,Combinedandseperatedfigureofforknail分叉钉组合，分解图,CaseX-ray病例X,胫骨中段骨折术前,Casex-ray病例X,术后3天,Casex-ray病例X,术后3个月,Casex-ray病例X,术后1年,Casex病例X（一钉两用）,胫骨下段骨折术前,Casex病例X（一钉两用）,FLN固定,Operationpath手术入路,ClassicoperationpathNewoperationpath,胫骨平台下方0.5-1CM处纵行劈开膑韧带胫骨平台中点、前缘下方0.5CM以内该点偏离胫骨结节水平距离约0.5CM，恰巧位于中轴线上.(不切膑韧带）,Conclusion结论,FLNisaneffectiveandconvenientimplanttotreattibialfractureInseverelycomminutedfractureanddistalshaftfracture,thedistalholecoundbeinsertedwithtwotransversescrewssimilartoGK,whichcanwidenitsindication,FLN是一种方便有效治疗胫骨骨折的方法、