| 锁定钢板外固定治疗胫骨中下段骨折 |
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投稿时间：2014-02-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 梅正峰 |
MEI Zheng-feng |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
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| 范顺武 |
FAN Shun-wu |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
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| 赵凤东 |
ZHAO Feng-dong |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
zhaodong68@hotmail.com |
| 王翀妍 |
WANG Chong-yan |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
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| 刘军辉 |
LIU Jun-hui |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
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| 单治 |
SHAN Zhi |
浙江大学医学院附属邵逸夫医院骨科, 浙江 杭州 310016 |
Department of Orthopaedics, Sir Run Shaw Hospital, Medical College of Zhejiang University, Hangzhou 310016, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第6期，第458-460页 |
| DOI：10.3969/j.issn.1003-0034.2014.06.004 |
| 基金项目: |
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| 中文摘要:目的： 探讨锁定钢板外固定治疗胫骨中下段骨折的临床疗效。方法： 自2010年1月至2013年1月，采用锁定钢板外固定治疗18例胫骨中下段骨折患者，其中男11例，女7例；年龄13～80岁，平均53.5岁；病程2 h～3 d.骨折按AO分型：A型4例，B型11例，C型3例。开放骨折6例（Gustilo分型：Ⅰ型2例，Ⅱ型3例，Ⅲ型1例），闭合骨折12例。观察患者的手术时间、术后并发症情况，并采用Johner-Wruhs评价标准对术后疗效进行评价。结果： 18例患者获随访，时间6～15个月，平均11个月。2例发生局部皮肤坏死（其中1例骨外露），2例骨折延迟愈合（均为开放性骨折），1例钉道感染，均无螺钉松动及折断发生。按Johner-Wruhs评价标准，优10例，良6例，可2例。结论： 锁定钢板外固定是治疗胫骨中下段骨折的有效方法之一，具有手术损伤小、手术时间短、术后并发症少、功能恢复好的优点。 |
| 【关键词】胫骨骨折 外固定器 外科手术 |
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| Locking plate external fixator for the treatment of middle and distal tibial fractures |
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| ABSTRACT Objective: To evaluate the effectiveness of locking plate external fixator in treating middle and distal tibial fractures. Methods: From January 2010 to January 2013,18 patients suffered from middle and distal tibial fractures were treated by locking plate external fixator,including 11 males and 7 females,with an average age of 53.5 (ranged from 13 to 80)years old,the course of disease ranged from 2 h to 3 d. According to AO classification,4 cases were type A,11 cases were type B and 3 were type C. Among them,6 patients were open fracture,including 2 cases with typeⅠ,3 cases with typeⅡand 1 case with typeⅢ,according to Gustilo classification),12 patients were close fracture.Operation time,postoperative complications were observed,and Johner-Wruhs scoring were used to evaluate clinical outcomes. Results: All patients were followed up from 6 to 15(meaned 11) months. Two cases occurred skin necrosis (1 case occurred bone exposure),2 cases occurred delayed union(all were open fracture),and 1 case occurred nail infection. No screw loosening or broken occurred. According to Johner-Wruhs scoring,10 cases obtained excellent result,6 cases good,and 2 cases fine. Conclusion: Locking plate external fixator for the treatment of middle and distal tibial fractures,which has advantages of lessen damage, shorter operative time,less complications and rapid functional recovery,is one of good choice. |
| KEY WORDS Tibial fractures External fixators Surgical procedure,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梅正峰,范顺武,赵凤东,王翀妍,刘军辉,单治.锁定钢板外固定治疗胫骨中下段骨折[J].中国骨伤,2014,27(6):458~460 |
| 英文格式: | MEI Zheng-feng,FAN Shun-wu,ZHAO Feng-dong,WANG Chong-yan,LIU Jun-hui,SHAN Zhi.Locking plate external fixator for the treatment of middle and distal tibial fractures[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(6):458~460 |
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