| 一期植骨外固定和灌洗修复下肢火器伤骨缺损 |
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Received:September 13, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘瑞军 |
LIU Ruijun |
解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 程建高 |
CHENG Jiangao |
临沂市中医院骨科 |
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| 陈沂民 |
CHEN Yimin |
解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 张容峰 |
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解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 彭学军 |
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解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 刘明辉 |
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解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 王全健 |
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解放军第146医院骨科,山东临沂276001 |
Department of Orthopaedics,The 146th Hospital of the PLA Shandong Linqi 276001 |
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| 期刊信息：《中国骨伤》2003年16卷，第3期，第140-141页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:评价一期植骨外固定和灌洗修复下肢火器伤骨缺损的疗效。
方法:17例下肢火器伤长骨开放粉碎性骨折伴骨缺损,早期彻底清创,一期自体髂骨瓣植骨,外固定架固定,术后给予持续灌洗、抗生素治疗。
结果:16例术后随访7～24个月,6～8周有骨痂形成,植骨与宿主骨愈合时间平均8个月,无骨不愈合发生。
结论:外固定架在四肢长骨火器性损伤骨缺损治疗中具有独特的优越性,辅以自体髂骨植骨和术后持续灌洗可以一期修复伤口污染轻、软组织缺损少的火器性损伤。 |
| [关键词]:火器 损伤 骨移植 外固定器 灌洗 |
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| Repair of firearm injuries of extremities by 1-stage external fixation with bone graft and local irrigation |
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Abstract:
Objective:To evaluate the Results of 1 stage external fixation with bone graft and local irrigation for firearm injuries of extremities
Methods:17 cases of fresh firearm injuries of extremities with comminuted fracture and bone defects were treated with early debridement,autogenous iliac bone grafting,external fixation and local irrigation of antibiolics.
Results:The 16 cases were followed up for 7～24 months postoperatively.Callus formation was seen in the 6～8th weeks.Union of transplanted bone with the host bone occurred in 8th months averagely.Nonunion was not seen.
Conclusion:It is emphatically pointed out that the external fixation has its unique advantages in the treatment of firearm injuries of extremities with comminuted fracture and bone defects.The method of 1 stage external fixation with bone graft and local irrigation would eventually become the method of priority for the treatment of firearm injuries of extremities with comminuted fracture and bone defects. |
| KEYWORDS:Firearms Injuries Bone displantation External fixator Lavage |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘瑞军,程建高,陈沂民,张容峰,彭学军,刘明辉,王全健.一期植骨外固定和灌洗修复下肢火器伤骨缺损[J].中国骨伤,2003,16(3):140~141 |
| 英文格式: | LIU Ruijun,CHENG Jiangao,CHEN Yimin.Repair of firearm injuries of extremities by 1-stage external fixation with bone graft and local irrigation[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(3):140~141 |
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