| 经皮锁定接骨板固定结合四肢洗方熏洗治疗胫骨远端骨折 |
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投稿时间：2010-02-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 夏永法 |
XIA Yong-fa |
安吉县中医医院骨科,浙江 湖州 313300 |
Department of Orthopaedics,Anji Traditional Chinese Hospital,Huzhou 313300,Zhejiang,China |
ajzyyx@126.com |
| 王喜波 |
WANG Xi-bo |
安吉县中医医院骨科,浙江 湖州 313300 |
Department of Orthopaedics,Anji Traditional Chinese Hospital,Huzhou 313300,Zhejiang,China |
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| 刘武斌 |
LIU Wu-bin |
安吉县中医医院骨科,浙江 湖州 313300 |
Department of Orthopaedics,Anji Traditional Chinese Hospital,Huzhou 313300,Zhejiang,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第5期，第394-396页 |
| DOI：10.3969/j.issn.1003-0034.2010.05.026 |
| 基金项目: |
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中文摘要:
目的：观察四肢洗方在改善胫骨远端骨折术后踝关节功能方面的临床效果。
方法：2006年1月至2008年3月，将49例胫骨远端骨折患者随机分为治疗组和对照组，治疗组24例，男16例，女8例；平均年龄(41.3±13.2)岁；骨折AO分型：A型13例，B型9例，C型2例。对照组25例，男15例，女10例；平均年龄(38.2±10.9)岁；AO分型：A型12例，B型10例，C型3例。两组患者均采用经皮锁定接骨板内固定术，治疗组切口愈合后予四肢洗方熏洗，配合关节功能锻炼；对照组则常规功能锻炼。
结果：治疗组和对照组均无切口感染、皮瓣坏死、骨和钢板外露等情况。49例患者均获随访，时间4～16个月，平均8.6个月。采用Johner-Wruhs评价标准评价，治疗组优7例，良12例，中5例；对照组优5例，良7例，中10例，差3例。两组疗效比较差异有统计学意义(P<0.05),治疗组明显优于对照组。
结论：四肢洗方有助于改善胫骨远端骨折术后踝关节功能。 |
| 【关键词】胫骨骨折 骨折固定术,内 踝关节 临床对照试验 |
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| Percutaneous locking plate combined with Sizhi-Xifang for treatment of the distal tibial fracture |
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ABSTRACT
Objective: To observe the clinical effect of Sizhi-Xifang in the improvement of postoperative ankle function.
Methods: From Jan. 2006 to Mar. 2008,49 patients were divided randomly into treatment group and control group. The treatment group included 16 males and 8 females with an average age of(41.3±13.2) years,involving 13 cases of tye A,9 of type B and 2 of type C based on AO classification. The control group included 15 males and 10 females with an average age of(38.2±10.9) years,involving 12 cases of type A,10 of type B,3 of type C. Minimal invasive percutaneous plate were used in each group. In treatment group 24 cases were treated with Sizhi-Xifang after the incisions were healed.
Results: There were no incision infections,flaps necrosis,bone and plate exposure after treatment in two groups. All patients were followed-up for 4 to 16 months with an average of 8.6 months. According to Johner-Wruhs evaluation standard,there were 7 cases in excellent,12 in good,5 in fair in treatment group and in control group there were 5 cases in excellent,7 in good,10 in fair and 3 in poor. The comparison of effect between two groups had significant difference(P<0.05).
Conclusion: Sizhi-Xifang is helpful to improve the ankle postoperative function. |
| KEY WORDS Tibial fractures Fracture fixation,internal Ankle joint Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 夏永法,王喜波,刘武斌.经皮锁定接骨板固定结合四肢洗方熏洗治疗胫骨远端骨折[J].中国骨伤,2010,23(5):394~396 |
| 英文格式: | XIA Yong-fa,WANG Xi-bo,LIU Wu-bin.Percutaneous locking plate combined with Sizhi-Xifang for treatment of the distal tibial fracture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(5):394~396 |
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