| 手法复位经皮微创锁定钢板固定治疗胫腓骨远端骨折60例 |
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投稿时间：2014-02-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 郝博川 |
HAO Bo-chuan |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
haobochuan@163.com |
| 谢克波 |
XIE Ke-bo |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 熊琳宵 |
XIONG Lin-xiao |
北京中医药大学人文学院英语系, 北京 100029 |
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| 张雷 |
ZHANG Lei |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 张君松 |
ZHANG Jun-song |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 张杰 |
ZHANG Jie |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 郑移兵 |
ZHENG Yi-bing |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 张立强 |
ZHANG Li-qiang |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 鲍树仁 |
BAO Shu-ren |
北京丰盛中医骨伤专科医院脊柱关节科, 北京 100140 |
Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, Beijing 100140, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第6期，第491-495页 |
| DOI：10.3969/j.issn.1003-0034.2014.06.012 |
| 基金项目: |
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| 中文摘要:目的： 探讨闭合手法整复经皮微创锁定钢板内固定治疗胫腓骨远端骨折的临床疗效。方法： 自2009年至2011年采用闭合手法复位经皮微创锁定钢板内固定治疗60 例胫腓骨远端骨折患者，其中男32 例，女28 例；年龄14～70 岁，平均（41.22±2.06）岁。按AO骨折分型：A1 型5 例，A2 型22 例，A3 型21 例，C1 型12例。术后观察并记录手术时间、术中出血量、骨痂出现时间、骨愈合时间，并采用Mazur 踝关节评分系统对术后疗效进行评价。结果： 术后Ⅰ 期愈合58 例，胫骨远端切口感染2例。手术时间45～90 min，平均（62.34±5.66）min；术中出血30～150 ml，平均（80.57±5.59 ）ml；X 线片示骨痂出现时间4～12 周，平均（8.24±2.06）周；骨愈合时间3～6 个月，平均（4.50±1.13）个月。根据Mazur 踝关节评分系统评价功能：优40 例，良18 例，中2例。结论： 采用闭合手法整复经皮微创锁定钢板内固定治疗胫骨远端骨折，能更好地保护骨折部位的血供，同时取得更小微创切口条件下的可靠骨折固定，可获得满意的临床疗效，是治疗胫骨远端骨折的最佳选择之一。 |
| 【关键词】胫骨 腓骨 骨折 手法,骨科 外科手术,微创性 骨折固定术,内 |
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| Manipulative reduction with minimally invasive percutaneous plate osteosynthesis for 60 patients with distal tibiofibular fractures |
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| ABSTRACT Objective: To explore clinical effects of manipulative reduction with minimally invasive percutaneous plate osteosynthesis in treating distal tibiofibular fractures. Methods: From 2009 to 2011,60 patients with distal tibiofibular fractures were treated by manipulative reduction with minimally invasive percutaneous plate osteosynthesis. Among them,there were 32 males and 28 females aged from 14 to 70 years old with an average of 41.22±2.06. According to AO classification of fractures,5 cases were type A1,22 cases were type A2,21 cases were type A3 and 12 cases were type C1. Operation time,blood loss,time of callus and fracture healing were observed,Mazur scoring of ankle joint were used to evaluate therapeutic. Results: Fifty-eight incisions were healed at stageⅠ,and 2 cases were infected at distal tibial. Operation time was with an average of (62.34±5.66) min ranged 45 to 90 min;blood loss was 30 to 150 ml with an average of (80.57±5.59) ml;formation of callus appeared from 4 to 12 weeks,with an average of (8.24 ± 2.06) weeks,and fracture healing time was from 3 to 6 months,with an average of (4.50±1.13) months. According to Mazur scoring of ankle joint,40 cases got excellent results,18 good,and 2 fair. Conclusion: Manipulative reduction with minimally invasive percutaneous plate osteosynthesis can obtain reliable fixation. It is a good choice of treating distal tibiofibular fractures by protecting blood supply of fractures. |
| KEY WORDS Tibia Fibula Fractures Manipulation,orthopedic Surgical procedures,minimally invasive 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: | 郝博川,谢克波,熊琳宵,张雷,张君松,张杰,郑移兵,张立强,鲍树仁.手法复位经皮微创锁定钢板固定治疗胫腓骨远端骨折60例[J].中国骨伤,2014,27(6):491~495 |
| 英文格式: | HAO Bo-chuan,XIE Ke-bo,XIONG Lin-xiao,ZHANG Lei,ZHANG Jun-song,ZHANG Jie,ZHENG Yi-bing,ZHANG Li-qiang,BAO Shu-ren.Manipulative reduction with minimally invasive percutaneous plate osteosynthesis for 60 patients with distal tibiofibular fractures[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(6):491~495 |
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