| 可吸收螺钉在关节内骨折治疗中的应用 |
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Received:March 03, 2003 Revised:June 30, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 向阳 |
XIANG Yang |
贵阳医学院附属医院骨科,贵州 贵阳 550004 |
Department of Orthopaedics, Guiyang Medical Affiliate Hospital Guizhou Guiyang, 550004, China |
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| 许光耀 |
XUGuangyan |
贵阳医学院附属医院骨科,贵州 贵阳 550004 |
Department of Orthopaedics, Guiyang Medical Affiliate Hospital Guizhou Guiyang, 550004, China |
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| 唐本森 |
TANG Bensen |
贵阳医学院附属医院骨科,贵州 贵阳 550004 |
Department of Orthopaedics, Guiyang Medical Affiliate Hospital Guizhou Guiyang, 550004, China |
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| 尹培荣 |
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贵阳医学院附属医院骨科,贵州 贵阳 550004 |
Department of Orthopaedics, Guiyang Medical Affiliate Hospital Guizhou Guiyang, 550004, China |
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| 期刊信息：《中国骨伤》2003年16卷，第10期，第600-601页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨一种新的内固定材料在关节内骨折中的应用价值及适应证。
方法:用自身增强聚乙交酯(SR-PGA),聚丙交酯(SP-PLLA)和国产聚-DL-乳酸(SR-PDLLA)可吸收螺钉治疗踝关节,膝关节,髋关节,肱骨上端骨折等关节内骨折共62例,均采用常规关节手术入路,根据骨折块大小不同,用1～4枚螺钉固定,术后用石膏固定4～8周。
结果: 关节解剖复位38例,占61.3％;近解剖复位18例,占29％;复位欠佳6例,占9.7％。关节功能优20例,占32.3％,良32例,占51.6％,可6例,占9.7％,差4例,占6.5％,优良率达83.9％。全组病例随访3～10个月,4例术后出现骨折端不同程度的移位,占6.5％。
结论:关节内骨折采用可吸收内固定螺钉固定可避免二次手术,减少关节内粘连,是一种理想的关节内骨折固定物,但应严格掌握其适应证,在行该类手术时,须同时作好行金属内固定的准备。 |
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| The clinical application of absorbent screws in intra-articular fracture in sixty-two cases |
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Abstract:
Objective:To explore the clinical application value and indication of a new material in intra-articular fracture
Methods:There were 62 cases,male 46,female 16 in this group. All fractures were fixed with 4.5 mm self-reinforced absorbent screws, according to the common articular incision, use 1-4 absorbent screws to fix the fracture slice and use plaster bandage to fix the extremity after operation for 4-8 weeks,and then exercise the function of extremities.
Results:There were 38 cases of anatomical restoration,the percentage was 61.3% approximately anatomical restoration 18 cases, the percentage was 29% ;bad restoration 6 cases, the percentage was 9.7% . The excellent and good percentage was 83.9%. The follow-up period ranged from three months to ten months, six months in average of all patients, there was replacement of fracture in four cases,the percentage was 6.5% .
Conclusion:The absorbent screws have definite effect on intra-articular fracture and good biocompatibility. It can avoid the second operation and reduce the adhesion,so it is a ideal internal fixational material. |
| KEYWORDS:Fractures Fracture fixation, internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 向阳,许光耀,唐本森,尹培荣.可吸收螺钉在关节内骨折治疗中的应用[J].中国骨伤,2003,16(10):600~601 |
| 英文格式: | XIANG Yang,XUGuangyan,TANG Bensen.The clinical application of absorbent screws in intra-articular fracture in sixty-two cases[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(10):600~601 |
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