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内固定植骨加髌骨牵引治疗陈旧性股骨干骨折
Hits: 1938   Download times: 1281   Received:June 06, 1998  Revised:January 16, 1999  
作者Author单位UnitE-Mail
吴希瑞 WU Xi rui 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
张英泽 ZHANG Ying ze 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
彭阿钦 PENG A qin 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
张煜 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
潘进社 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
吴春生 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
赵昌平 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
李衡 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
刘彦辉 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
仝吉庆 河北医科大学第三医院,河北石家庄050051 Affiliated Third Hospital,Hebei Medical University Hebei Shijiazhuang 050051  
期刊信息:《中国骨伤》2000年13卷,第10期,第590-591页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨陈旧性股骨干骨折合并不同程度的膝关节僵直的治疗方法。

方法:对45例陈旧性股骨干骨折患者,采用内固定植骨后松解股四头肌及膝关节内的粘连,辅以髌骨牵引持续1~2周。

结果:45例随访平均2年2个月,所有骨折在术后35~6个月内愈合,膝关节功能由术前的屈曲28°增至110°,平均进步82°。

结论:髌骨牵引可以使挛缩的股四头肌延长, 且不影响骨折内固定的稳定性, 能使骨折愈合和膝关节功能康复同时进行。
[关键词]:股骨骨折  骨移植  牵引术
 
The treatment of the old femoral shaft fracture with bone grafting internal fixation and patella traction
Abstract:

Objective:To study the treatment of the old femoral fractures combined with stiff knee in varying degrees.

Methods: 45 cases of old femoral shaft fractures were treated.After fixation of the fracture,transplantation of the spongy bone adherence relaxation of the quadriceps and the knee joint,a patella traction was applied for 1~2 weeks.

Results: The mean period of follow up was 2 years and 2 months,the fractures in 45 cases healed up in 3 5~6 months.The average flexion function of the knee joint increased 82° (from 28° to 110°).

Conclusion: The patella traction could extend the contracted muscle without affecting the stability of the internal fixation of the fracture,meanwhile,the fracture healing and the functional rehabilitation of the knee proceeded and completeed simultaneously.
KEYWORDS:Femoral fracture  Bone transplantation  Traction
 
引用本文,请按以下格式著录参考文献:
中文格式:吴希瑞,张英泽,彭阿钦,张煜,潘进社,吴春生,赵昌平,李衡,刘彦辉,仝吉庆.内固定植骨加髌骨牵引治疗陈旧性股骨干骨折[J].中国骨伤,2000,13(10):590~591
英文格式:WU Xi rui,ZHANG Ying ze,PENG A qin.The treatment of the old femoral shaft fracture with bone grafting internal fixation and patella traction[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(10):590~591
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