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组合式外固定器结合小夹板固定治疗胫骨骨折
Hits: 2150   Download times: 1302   Received:February 04, 2005    
作者Author单位UnitE-Mail
余松 YU Song 深圳市龙岗区横岗医院外三科,,广东深圳518115 Department of Orthopaedics,Henggang People's Hospital of Longgang district,Guangdong Shenzhen,518115,China szsongii@public.net.cn 
莫挺飞 MO Ting-fei 深圳市龙岗区横岗医院外三科,,广东深圳518115 Department of Orthopaedics,Henggang People's Hospital of Longgang district,Guangdong Shenzhen,518115,China  
古安武 GU An-wu 深圳市龙岗区横岗医院外三科,,广东深圳518115 Department of Orthopaedics,Henggang People's Hospital of Longgang district,Guangdong Shenzhen,518115,China  
王新 WANG Xin 深圳市龙岗区横岗医院外三科,,广东深圳518115 Department of Orthopaedics,Henggang People's Hospital of Longgang district,Guangdong Shenzhen,518115,China  
期刊信息:《中国骨伤》2005年18卷,第7期,第394-395页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:采用组合式外固定器结合小夹板固定治疗胫骨骨折,并探讨其治疗疗效。

方法:对164例胫骨骨折病例,早期使用组合式外固定器固定,后期改用小夹板固定,直至骨折愈合。

结果:1例血运不良并感染截肢、8例骨不连、15例迟缓愈合,其余140例全部愈合。

结论:外固定器与小夹板固定优势互补,手术操作简单,早期有利于皮肤创面愈合,又可克服小夹板早期固定不牢靠的缺陷;后期使用小夹板固定,能有效防止外固定器针道感染及应力遮挡,免除二次手术痛苦,是一种较好的治疗方法;但对于多发或粉碎性骨折固定欠牢固,存在局限性。
[关键词]:胫骨骨折  外固定器  夹板治疗
 
Combined external fixation device with splinting for the tretment of tibia fracture
Abstract:

Objective:To explore the effects of combined extenal fixation device with splinting for the treatment of tibial fracture.

Methods:164 patients of tibia fracture were treated with combined external fixation divice in earlier period of fracture,and with splinting in later period.

Results:Fracture healed completely in 140 cases,except for 15 cases delayed healing,8 cases unconnected,1 case infected and amputated extremity.

Conclusion:External fixation device and splinting have dominant complementation to make for skin healing,overcoming unstable fracture at early period;splinting in the later period can prevent from infection and stress obstruction,avoid reoperation.It is a better mothed to tibia fracture,but its fixation is not unstable and is limited to multiple fracture and comminuted fracture.
KEYWORDS:Tibial fracture  External fixation device  Splinting
 
引用本文,请按以下格式著录参考文献:
中文格式:余松,莫挺飞,古安武,王新.组合式外固定器结合小夹板固定治疗胫骨骨折[J].中国骨伤,2005,18(7):394~395
英文格式:YU Song,MO Ting-fei,GU An-wu,WANG Xin.Combined external fixation device with splinting for the tretment of tibia fracture[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(7):394~395
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