【摘 要】
：
笔者分析了2001年1月-2004年1月收治的42例合并髁部骨折的胫骨干复杂骨折患者的病例资料。通过分析此类骨折的损伤特点及病理特点，提出在治疗策略上要分步骤进行，即通过现有的治疗手段和方法，提出内、外固定术的序贯治疗方案，并总结了管状结构重建的必要性，外固定选择和去支架时机，以及干髓端骨折愈合后的序贯治疗方法。
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笔者分析了2001年1月-2004年1月收治的42例合并髁部骨折的胫骨干复杂骨折患者的病例资料。通过分析此类骨折的损伤特点及病理特点，提出在治疗策略上要分步骤进行，即通过现有的治疗手段和方法，提出内、外固定术的序贯治疗方案，并总结了管状结构重建的必要性，外固定选择和去支架时机，以及干髓端骨折愈合后的序贯治疗方法。
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目的：总结前路螺钉内固定治疗齿状突骨折的经验，评价该手术的安全性和疗效。方法：回顾性分析了我院从2000年12月至2006年6月28例前路螺钉内固定治疗的Ⅱ型和浅Ⅲ型枢椎齿突骨折病例。对其骨折愈合率、手术并发症、临床结果进行评价。结果：平均随访15.3个月，全部骨折愈合，无术中及术后并发症，无内固定螺钉松动、移位或断裂。所有病人的颈椎活动范围满意。结论：前路螺钉内固定是治疗Ⅱ型和浅Ⅲ型枢椎齿突骨折