| 三维复位固定器治疗胫腓骨骨折 |
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投稿时间：2007-06-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 阎兆东 |
YAN Zhao-dong |
海南省中医院骨科，海南 海口 570203 |
Osteologic Department,Hainan Hospital of Chinese Medicine,Haikou 570203,Hainan,China |
yan808@medmail.com.cn |
| 赵勇 |
ZHAO Yong |
中国中医科学院骨伤科研究所 |
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| 张泰标 |
ZHANG Tai-biao |
海南省中医院骨科，海南 海口 570203 |
Osteologic Department,Hainan Hospital of Chinese Medicine,Haikou 570203,Hainan,China |
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| 胡万钧 |
HU Wan-jun |
海南省中医院骨科，海南 海口 570203 |
Osteologic Department,Hainan Hospital of Chinese Medicine,Haikou 570203,Hainan,China |
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| 陈海华 |
CHEN Hai-hua |
海南省中医院骨科，海南 海口 570203 |
Osteologic Department,Hainan Hospital of Chinese Medicine,Haikou 570203,Hainan,China |
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| 张岩 |
ZHANG Yan |
海南省中医院骨科，海南 海口 570203 |
Osteologic Department,Hainan Hospital of Chinese Medicine,Haikou 570203,Hainan,China |
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| 符永新 |
FU Yong-xin |
临高县中医院 |
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| 期刊信息：《中国骨伤》2008年，第21卷，第2期，第97-98页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:海南省自然科学基金资助项目(30526) |
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中文摘要:
目的：观察研究三维复位固定器治疗胫腓骨骨折的临床疗效。
方法：胫腓骨骨折患者21例，男12例，女9例；年龄18～72岁，平均46岁。开放性骨折5例，闭合骨折16例。上段骨折4例，中段骨折8例，下段骨折9例。斜形骨折10例，粉碎骨折8例，多段骨折3例。采用三维复位固定器进行治疗。
结果：骨折复位情况：解剖对位11例，近解剖对位9例，功能对位1例。骨折临床愈合时间43～85 d,平均62 d.随访4～12个月，功能恢复优13例，良8例。多功能复位固定器拆除时间6～12周，平均8.5周。
结论：三维复位固定器治疗胫腓骨骨折使固定器与骨折端形成三维立体固定，适合小腿的生物力学要求，为胫腓骨骨折治疗提供了一种既无偏心应力，又无应力遮挡，结构稳固利于骨折愈合的弹性固定器。 |
| 【关键词】胫骨 腓骨 骨折 外固定器 |
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| Treatment of fracture of tibia and fibula with three dimensional diaplasis fixation |
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ABSTRACT
Objective: To study the clinical effect of three dimensional diaplasis fixation in fracture of tibia and fibula.
Methods: Twenty-one cases of fracture of tibia and fibula were treated with three dimensions fixation(12 males,9 females,with an average age of 46 years). There were 5 cases in open fracture,16 cases in closed fracture, and 4 cases in up-segment fracture,8 cases in mid-segment fracture,9 cases in below-segment fracture. Oblique fracture were in 10 cases,thrypsis were in 8 cases,multisegmental fracture were in 3 cases.
Results: ①Conditions of diaplasis fracture:dissected diaplasis were in 11 cases,closely dissected diaplasis in 9 cases,functional diaplasis in 1 case. ②Clinical healing time:the minimum time was 43 days and maximum time was 85 days with an average of 62 days. ③Conditions of functional recovery:all the patients were followed up from 4 to 12 months,13 cases were excellent,8 cases were good. ④Time of backouting three dimensional diaplasis fixation:the minimum time was 6 weeks and the maximum 12 weeks with an average time of 8.5 weeks.
Conclusion: The three dimensional diaplasis fixation and the fracture extremity from such a three dimensional solid that it can satisfy crus biomechanics for treating fracture of tibia and fibula with unstressed barrier and uncentric stress. Moreover,the three dimensional diaplasis fixation is elastic,it's structure is so fixed that it can be favorable for bone union. |
| KEY WORDS Tibia Fibula Fractures External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 阎兆东,赵勇,张泰标,胡万钧,陈海华,张岩,符永新.三维复位固定器治疗胫腓骨骨折[J].中国骨伤,2008,21(2):97~98 |
| 英文格式: | YAN Zhao-dong,ZHAO Yong,ZHANG Tai-biao,HU Wan-jun,CHEN Hai-hua,ZHANG Yan,FU Yong-xin.Treatment of fracture of tibia and fibula with three dimensional diaplasis fixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(2):97~98 |
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