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柱桥式接骨板骨膜外固定治疗四肢管状骨骨折
Hits: 2137   Download times: 1405   Received:July 23, 2000  Revised:January 20, 2001  
作者Author单位UnitE-Mail
高吉昌 GAO Ji-chang 沈阳军区第211医院,黑龙江哈尔滨150080 The 211 Hospital of PLA,Hei longjiang Haerbin,150080  
王仑 WANG Lun 沈阳军区第211医院,黑龙江哈尔滨150080 The 211 Hospital of PLA,Hei longjiang Haerbin,150080  
卢伟 LU Wei 沈阳军区第211医院,黑龙江哈尔滨150080 The 211 Hospital of PLA,Hei longjiang Haerbin,150080  
王强 吉林胶河市医院  
王正雷 沈阳军区第211医院,黑龙江哈尔滨150080 The 211 Hospital of PLA,Hei longjiang Haerbin,150080  
期刊信息:《中国骨伤》2001年14卷,第12期,第716-718页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:为了保护骨外膜,降低钢板对骨板的压迫导致的骨板吸收及骨结构紊乱,发生骨质疏松,影响骨愈合。设计一种柱桥式限制接触钢板,使其与骨间留一间隙,临床由胫腓骨扩大到其他四肢管状骨。

方法:采用本钢板用于四肢管状骨折,有闭合骨折、开放骨折、骨不连、骨折不连并骨髓炎、临床应用60例,进行术后3个月、6个月、12个月、24个月X线随访观察。

结果:60例全部一期愈合,无一例感染,骨不连及骨髓炎发生。骨痂长势好。

结论:柱桥式限制钢板保护骨外膜,减少对骨板的压迫,降低对骨的应力效应,点接触能保持骨的生理弹性,减少骨质疏松,有利于骨折愈合。
[关键词]:骨折,开放性  骨折,闭合性  外固定器
 
Extraperiosteal fixation with contact limited plate for the treatment of fractures of tubular bones of limbs
Abstract:

Objective:A contact limited plate was designed for leaving a space between bone and the periosteum for protection of the latter by decreasing bone plates compression following bone plate absorption,bone structure disturbance and osteoporosis,all of which will influence bone union.The plate were used on tibio-fibular fracture and then extended to the treatment of limbs tubular bone fractures.

Methods: 60 cases of closed fracture,opened fracture,nonunion,nonunion with osteomyelitis were treated with the plate and followed up with X-ray at 3 months,6 months,12 months,24 months after operation.

Results:60 cases healed and no infection,nonunion and osteomyelitis occurred.

Conclusion: This plate can protect periosteum,decrease bone plates compression and bone stress effect,keep bone physiological elasticity,decrease osteoporosis and benefit to fracture healing.
KEYWORDS:Fractures  open Fractures  closed External fixators
 
引用本文,请按以下格式著录参考文献:
中文格式:高吉昌,王仑,卢伟,王强,王正雷.柱桥式接骨板骨膜外固定治疗四肢管状骨骨折[J].中国骨伤,2001,14(12):716~718
英文格式:GAO Ji-chang,WANG Lun,LU Wei.Extraperiosteal fixation with contact limited plate for the treatment of fractures of tubular bones of limbs[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(12):716~718
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