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目的：探讨胫骨中上段多段骨折中辅助钢板结合扩髓交锁髓内钉的应用效果。方法选取我院2012年1月至2014年1月收治的86例胫骨中上段多段骨折患者的临床资料进行回顾性分析，所有患者均实施辅助钢板结合扩髓交锁髓内钉复位治疗，观察临床治疗结果。结果86例患者康复效果良好，Johner-Wruhs评分疗效判定，优良率为93.0%（80/86）。结论辅助钢板结合扩髓交锁髓内钉治疗胫骨中上段多段骨折能够取得良好的临床效果。“,”Objective To evaluate the upper tibia fracture more paragraphs in the auxiliary plate combined with expansion of pulp and application effect of interlocking intramedulary nail.Methods Select 86 cases of upper tibia in our hospital from 2012 January to 2014 January were multi segment fractures of the clinical data were analyzed retrospectively,al patients were implementing auxiliary plate combined with reamed reduction and interlocking intramedulary nailing in the treatment,observe the clinical results of treatment.Results 86 cases of patients with rehabilitation effect is good,Johner-Wruhs rating outcome,was 93.0%(80/86).Conclusion The combination of auxiliary steel expansion/locking intramedulary nail treatment of upper tibia fracture more paragraphs can achieve good clinical effect.