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柱桥式限制接触钢板骨膜外固定治疗胫腓骨骨折
Hits: 2250   Download times: 1365   Received:September 21, 1997  Revised:May 11, 1998  
作者Author单位UnitE-Mail
高吉昌 Gao Jichang 解放军第211医院,150080 211 PLA Hospital Harbin 150080  
陈庆贺 Chen Qinghe 解放军第211医院,150080 211 PLA Hospital Harbin 150080  
姜洪和 Jiang Honghe 解放军第211医院,150080 211 PLA Hospital Harbin 150080  
吴方强 解放军第211医院,150080 211 PLA Hospital Harbin 150080  
杜岩 解放军第211医院,150080 211 PLA Hospital Harbin 150080  
期刊信息:《中国骨伤》1999年12卷,第3期,第3-5页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:胫腓骨骨折传统的钢板内固定治疗可损伤骨折端营养动脉,破坏骨膜血液循环,增加感染、延期愈合及骨不连接的危险。为防止这些弊端,我们设计了一种新型钢板---柱桥式限制接触钢板。由于该钢板只有桥柱与骨接触,在钢板与骨面之间留有一间隙,而将其对骨及骨膜的压迫减少到最大限度。

方法:胫腓骨骨干双骨折10例,胫骨骨干骨折6例,不作骨膜切开及剥离,采用该钢板骨膜外固定骨折。

结果:16例全部骨愈合,无1例骨延期愈合、骨不连接及感染发生。

结论:柱桥式限制接触钢板治疗胫腓骨骨折是成功的。
[关键词]:胫腓骨骨折  柱桥式限制接触钢板  骨膜外固定
 
Extraperiosteal Fixation for Treating Fracture of Tibia and Fibula with Contact Limited Plate in PillarBridge Type
Abstract:

Objective:In order to prevent the disadvantages of traditional treatment of tibiofibular fracture with plate,such as the damage of nutrient arteries at the fracture end,the destruction of the periosteral blood circulation,and the increase in the chance of infection,delayed union and nonunion,a new contact limited plate in pillarbridge type was designed.Owing to only the contact of pillars with the bone,there is a space between the plate and bone,thus the pressure on the bone and periosteum can be decreased maximally.

Methods: This type of plate was applied to 10 cases of tibiofibular fracture and 6 cases of tibial shaft fracture for extraperiosteal fixation.

Results: There was no infection of incision,no delay of healing and no nonunion of fracture in all cases.

Conclusion: The treatment of tibiofibular fracture with contact limited plate in pillarbridge type was successful.
KEYWORDS:Fracture of tibia and fibula  Contact limited plate in pillar-bridge type  Extraperiosteal fixation
 
引用本文,请按以下格式著录参考文献:
中文格式:高吉昌,陈庆贺,姜洪和,吴方强,杜岩.柱桥式限制接触钢板骨膜外固定治疗胫腓骨骨折[J].中国骨伤,1999,12(3):3~5
英文格式:Gao Jichang,Chen Qinghe,Jiang Honghe.Extraperiosteal Fixation for Treating Fracture of Tibia and Fibula with Contact Limited Plate in PillarBridge Type[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(3):3~5
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