| 同侧腓骨移植结合外固定器治疗胫腓骨粉碎性骨折骨缺损 |
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Received:March 14, 2001
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| 作者 | Author | 单位 | Unit | E-Mail |
| 苏庚洵 |
SU Geng-xun |
陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 冯宏伟 |
FENG Hong-wei |
陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 郭永良 |
GUO Yong-liang |
陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 惠华 |
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陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 鲁驷原 |
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陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 刘岗 |
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陕西省咸阳市215医院骨科,咸阳712000 |
Department of Orthopaedics Xianyang 215 hospital,Shanxi 712000. |
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| 期刊信息：《中国骨伤》2002年15卷，第1期，第13-14页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:评价同侧腓骨移植外固定支架固定治疗胫腓骨粉碎性骨折骨缺损的疗效。
方法:38例均为新鲜骨折。其中,开放性骨折29例,闭合性骨折9例,均采用同侧腓骨移植,长约8～13cm,两端插入胫骨骨折两端骨髓腔内。单臂外固定支架分别在上、中、下三处,在不同平面和方向对骨折和植骨进行固定。同时将骨折粉碎骨块拼排在移植骨周围,术后早期活动。
结果:38例术后随访6～24个月,骨痂形成时间6～8周。植骨与主骨愈合时间为6个月,无骨不愈合、骨髓炎感染发现。
结论:胫腓骨粉碎性骨折、骨缺损,采用同侧腓骨移植,既有移植骨功能,又可以起到支持和恢复肢体长度作用。骨折愈合快,临床疗效满意。 |
| [关键词]:骨移植 胫骨骨折 腓骨 |
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| Combination of transplantation of the ipsilateral fibula and external fixation device for the treatment of comminuted fracture and bone defects of the tibia and fibula |
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Abstract:
Objective:To evaluate the results of the treatment of tibiofibula comminuted fracture and bone defect by the transplantation of the ipsilateral fibula and the external fixaction device.
Methods:All the 38 cases were fresh fracture,and 29 open and 9 closed fracture.The length of the transplanted ipsilateral fibula was 8～13cm which was inserted into the medullary cavity of fractured tibia,meanwhile,the comminuted fracture bone pieces were placed around the transplanted bone.The patients were encouraged to have early ambulation.
Results:All 38 cases had post-operative follow-up of 6～24 months.Callus were seen in 6～8 weeks.Union of transplanted bone with the tibia occurred in 6 months.Non-union and infection were not seen.
Conclusion:Tibiofibula comminuted fracture and bone defect can be treated with transplantation of the ipsilateral fibula.This treatment method is simple and effective. |
| KEYWORDS:Bone transplantation Tibial fractures Fibula |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 苏庚洵,冯宏伟,郭永良,惠华,鲁驷原,刘岗.同侧腓骨移植结合外固定器治疗胫腓骨粉碎性骨折骨缺损[J].中国骨伤,2002,15(1):13~14 |
| 英文格式: | SU Geng-xun,FENG Hong-wei,GUO Yong-liang.Combination of transplantation of the ipsilateral fibula and external fixation device for the treatment of comminuted fracture and bone defects of the tibia and fibula[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(1):13~14 |
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