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弹性外固定和负重治疗胫骨骨不连临床观察

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作者	Author	单位	Unit	E-Mail
李可心	Li Kexin	中国中医研究院骨伤科研究所	Institute of Orthopaedics and Traumatology,China Academy of Traditional Chinese Medicine (100700
孟和		中国中医研究院骨伤科研究所	Institute of Orthopaedics and Traumatology,China Academy of Traditional Chinese Medicine (100700

期刊信息：《中国骨伤》1994年7卷，第6期，第26-27页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

采用穿针外固定,配合患肢负重功能锻炼治疗胫骨骨不连22例。其中,10例增殖型,12例萎缩型。究其原因,11例为内固定不良,4例为石膏、2例为自制夹板固定而达不到固定效果,5例为骨端感染所致。治疗经过87～189天,平均103天,19例在6个月内愈合,3例效果欠佳。疗效分析认为：骨不连主要由于不良治疗过分干扰骨折自然愈合过程,骨生长能力受到限制所致,弹性外固定可改善骨折端稳定性,提供弹性和间断生理压应力,不限制功能锻炼中肌泵的供血作用,有利于骨端生长能力的恢复。

[关键词]:骨不连骨折外固定器

Clinical observation of elastic external fixation and functional exercise under burder in treating non-union of tibia

Abstract:Twenty-two cases of non-union of tibia treated by external fixation with wire and functional exercise under burder. Among them, 10 cases were proliferative type,12 atrophic type.The causes of tailure are 11 cases for defext in internal fixation,4 for plaster of Paris fixator, 2 for self-made splint fixation with bad fixation,and 5 for infection of the fracture ends.Through a course of therapy from 87-189 days,with an average of 103 days,19 cases healed within months,3 with worse effectiveness. The result of analysis showed that,the maincause of non-union was due to insufficient therapy interference to natural healing process,with limitation of the ability of bone growth.Elasticexternal fixation can improve the stability of fracture ends,offer elastic and interrupted physiological pressure stress.It dons’t limit the blood supply action of the muscle pump during functional exercies.It facilitaes recovery the ability of growth of the fracture ends.

KEYWORDS:Non-union External fixator for fracture

引用本文，请按以下格式著录参考文献：

中文格式:	李可心,孟和.弹性外固定和负重治疗胫骨骨不连临床观察[J].中国骨伤,1994,7(6):26~27
英文格式:	Li Kexin.Clinical observation of elastic external fixation and functional exercise under burder in treating non-union of tibia[J].zhongguo gu shang / China J Orthop Trauma ,1994,7(6):26~27

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