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胫骨的应力性骨折常发生在近侧端,且经休息很容易被治愈。然而,胫骨的中1/3骨折是不常见的。在五年中我们曾遇到此类骨折六例,用简单的固定没有一例被治愈。其中,一例用电刺激治疗两年后,尚未愈合;另一例在损伤部位没行骨移植术,经活组织检查最后发现也未愈合;再有一例是两次急性完全性应力性骨折,在第二次急性骨折时,行切开复位内固定术后才被治愈。其它三例是因为连接失败,行骨病灶切除植骨术后,均得到迅速愈合。
Stress fractures of the tibia often occur at the proximal end and are easily healed by rest. However, a third of fractures of the tibia are uncommon. We encountered six such fractures in five years and were cured with no simple fixation. Among them, one case of electrical stimulation treatment for two years, has not yet healed; the other cases did not undergo bone graft in the injury site, the final finding by the biopsy did not heal; another case of two acute complete stress fracture, in the first Secondary acute fracture, the line after open reduction and internal fixation was cured. The other three cases because of failure to connect, bone lesion resection and bone grafting, were rapidly healed.