| 儿童小夹板外固定不当致肢体缺血性挛缩的原因和预防 |
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Received:February 28, 2001
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| 作者 | Author | 单位 | Unit | E-Mail |
| 袁志 |
YUAN Zhi |
第四军医大学西京医院全军骨科研究所, 陕西西安710032 |
Institute of Orthopaedics, Xijing Hospital of 4th Military Medical University Shanxi Xi’an ,710032 |
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| 黄耀添 |
HUANG Yao-tian |
第四军医大学西京医院全军骨科研究所, 陕西西安710032 |
Institute of Orthopaedics, Xijing Hospital of 4th Military Medical University Shanxi Xi’an ,710032 |
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| 雷伟 |
LEI Wei |
第四军医大学西京医院全军骨科研究所, 陕西西安710032 |
Institute of Orthopaedics, Xijing Hospital of 4th Military Medical University Shanxi Xi’an ,710032 |
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| 李劲良 |
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吉林省辽源市中医院,吉林辽源 |
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| 期刊信息：《中国骨伤》2002年15卷，第4期，第196-197页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:分析儿童小夹板固定不当致肢体缺血挛缩的原因。
方法:1978~1998年收治因小夹板外固定不当致缺血挛缩的患儿23例,男18例,女5例;上肢20例,下肢3例。根据其功能障碍情况对其中ZI例采用了不同手术处理。
结果: 随访手术患儿15例,随访时间1~18年,其中仅7例功能较术前有明显改善,余8例效果差,功能恢复不明显。
结论:小夹板外固定不当,儿童较成人更易发生缺血挛缩,其后果更为严重,手术治疗效果差,因此预防是关键。 |
| [关键词]:骨折固定术 并发症 挛缩 骨折 四肢 |
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| Causes and prevention of Volkmann’s syndrome caused by improper external fixation of small wooden splint in children |
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Abstract:
Objective:analyses the causes of Volkmann’s syndrome resulted from improper use of ex-ternal fixation of small wooden splint in children.
Methods:From 1978 to 1998,23 cases(18 males and 5 fe-males) of Volkmann’s syndrome caused by improper external fixation of small wooden splint were encoun-tered. The syndrome occurred in the upper limbs in 20 cases and 3 in the lower limbs. The 21 cases were treat-ed with different operation Methods according to their individual conditions.
Results:The follow-up duration of 15 cases ranged from 1 to 18 years. 7 cases had remarkable improvement and 8 cases had poor Results without functional recovery.
Conclusion: Inproper external fixation with small wooden splint can cause Volkmann’s syn-drome, especially in children and the consequence is serious. To this kind of patients, operation treatment re-sulted in poor effect and the important point is prevention. |
| KEYWORDS:Fracture fixation Complication Volkmann’s syndrome Fracture,limbs |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 袁志,黄耀添,雷伟,李劲良.儿童小夹板外固定不当致肢体缺血性挛缩的原因和预防[J].中国骨伤,2002,15(4):196~197 |
| 英文格式: | YUAN Zhi,HUANG Yao-tian,LEI Wei.Causes and prevention of Volkmann’s syndrome caused by improper external fixation of small wooden splint in children[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(4):196~197 |
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