| 手法整复经皮锁定钢板内固定治疗胫腓骨中下段骨折 |
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投稿时间：2010-08-29
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| 作者 | Author | 单位 | Address | E-Mail |
| 肖义陂 |
XIAO Yi-bei |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
xiaoyibi2002@126.com |
| 胡敦祥 |
HU Dun-xiang |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 唐清美 |
TANG Qing-mei |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 许振波 |
XU Zheng-bo |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 周铨昆 |
ZHOU Quan-kun |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 邓平征 |
DENG Ping-zheng |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 郭军芳 |
GUO Jun-fang |
南昌市洪都中医院骨一科，江西 南昌 330008 |
Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第5期，第431-433页 |
| DOI：10.3969/j.issn.1003-0034.2011.05.023 |
| 基金项目: |
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中文摘要:
目的：探讨用手法整复，经皮锁定钢板内固定治疗胫腓骨中下段骨折的临床疗效。
方法：2006年1月至2009年10月，采用闭合整复锁定钢板内固定治疗此类损伤46例，男27例，女19例；年龄17～56岁，平均39岁。骨折按AO分型：A型12例，B型24例，C型10例。入院至手术时间2 h～3 d,伤后患者患肢肿胀，疼痛，可及骨擦音。术后对患者伤口情况，患肢功能，骨折愈合方面进行观察。
结果：术后所有病例切口Ⅰ期愈合，未见感染。骨折的愈合时间为 12～18周，平均 14周。46例患者获得随访，随访时间12～18个月，平均15个月，疗效结果，治愈 40例 ,好转 4例 ,未愈 2 例。
结论：手法整复锁定钢板内固定治疗此类骨折损伤小、固定可靠、骨折愈合快，功能恢复好。 |
| 【关键词】胫骨 腓骨 骨折 骨折固定术，内 |
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| Manipulative reduction and internal fixation by percutaneous locking compression plate for the treatment of mid-distal tibiofibula shaft fractures |
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ABSTRACT
Objective: To investigate the clinical effects of manipulative reduction and percutaneous locking compression plate internal fixation for the treatment of mid-distal tibiofibula shaft fractures.
Methods: From January 2006 to October 2009,46 patients suffering from mid-distal tibiofibula shaft fractures were treated with closed manipulative reduction and LCP,involved 27 males and 19 females with an average age of 39 years old ranging from 17 to 56 years. According to AO classification,there were 12 cases of type A,24 of type B,10 of type C. The duration of visiting hospital were from 2 hours to 3 days after being injured for these patients. The injured limbs of the patients were swollen and painful,even with bony crepitus. The wound,function of the injured limb and union of fractures were observed after operation.
Results: All the patients were followed up from 12 to 18 months (averaged 15 months). It was found that the wound of all patients had primary healing without any infection. The fracture healing time was 12 to 18 weeks (means 14 weeks). The results were excellent in 40 cases,good in 4 and fair in 2.
Conclusion: Less invasive,more stable fixation,shorter healing time and better functional rehabilitation are observed in the treatment of mid-distal tibiofibula shaft fractures after manipulative reduction and percutaneous locking compression plate internal fixation. |
| KEY WORDS Tibia Fibula Fractures Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 肖义陂,胡敦祥,唐清美,许振波,周铨昆,邓平征,郭军芳.手法整复经皮锁定钢板内固定治疗胫腓骨中下段骨折[J].中国骨伤,2011,24(5):431~433 |
| 英文格式: | XIAO Yi-bei,HU Dun-xiang,TANG Qing-mei,XU Zheng-bo,ZHOU Quan-kun,DENG Ping-zheng,GUO Jun-fang.Manipulative reduction and internal fixation by percutaneous locking compression plate for the treatment of mid-distal tibiofibula shaft fractures[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(5):431~433 |
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