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锁钉板治疗下肢长骨陈旧性粉碎性骨折

Treatment of the old comminuted fractures in lower extremity with locking plates fixation
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摘要 目的:评价采用锁钉板内固定治疗下肢长骨陈旧性粉碎性骨折的效果。方法:自2005年10月—2008年12月间,应用该方法治疗18例下肢长骨陈旧性粉碎性骨折。其中男14例,女4例,年龄18~65岁。从受伤到接受手术时间为6周~10个月,平均17周。结果:所有患者均获得随访,随访10~40个月,平均16个月。参考Johner和Wruhs标准,平均关节功能优良率达到77.8%。术后出现并发症3例,其中2例伤口愈合不良,1例伤口感染。结论:锁钉板是治疗下肢长骨陈旧性粉碎性骨折的理想治疗方法。 Objective:To observe the treatment effects of the old comminuted fractures in lower extremity with locking plates fixation.Methods:Locking plates fixation,treated 18 the old comminuted fracture patients in lower extremity,from October 2005 to December 2008,of which 14 patients were male and 4 patients were female,age range were 18 to 65 years.The interval from injury to orthopaedic surgery were 6 weeks to 10 months,average 17 weeks.Results:All of 18 cases were followed up from 10 month to 40 month,with average 16 month.Excellent and good rate of all patients was 77.8% by Johner and Wruhs criterion.3 cases had surgical complication,2 cases of which were wound malhealing and 1 case was wound infection.Conclusion:Locking plates is ideal and reliability internal fixation material for the old comminuted fractures in lower extremity as long as properly selected before operation.
机构地区 南京市江宁医院
出处 《临床医药实践》 2010年第10期741-742,共2页 Proceeding of Clinical Medicine
关键词 锁钉板 内固定术 粉碎性骨折 locking plates internal fixation comminuted fracture
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参考文献4

  • 1Perren S M.Evolution of the internal fixation of long bone fractures.The scientific basis of biological internal fixation:choosing a new balance between stability and biology[J].J Bone Joint Surg Br,2002,84:1 093-1 100. 被引量:1
  • 2Kubiak E N,Fulkerson E,Strauss E,et al.The evolution of locked plates[J].J Bone Joint Surg Am,2006,88 (Suppl 4):189-200. 被引量:1
  • 3Smith W R,Ziran B H,Anglen J O,et al.Locking plates:tips and tricks[J].J Bone Joint Surg Am,2007,89:2 298-2 307. 被引量:1
  • 4Uhthoff H K,Poitras P,Backman D S.Internal plate fixation of fractures:short history and recent developments[J].J Orthop Sci,2006,11:118-126. 被引量:1

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