醫(yī)學(xué)全在線
醫(yī)學(xué)全在線首頁(yè)-醫(yī)師-藥師-護(hù)士-衛(wèi)生資格-高級(jí)職稱-考試題庫(kù)-網(wǎng)校-考研-圖譜-下載-招聘  
分類
國(guó)家級(jí)省級(jí)浙江省各省雜志
科技核心北大核心CSCDCSCD擴(kuò)展
工具
期刊知識(shí)寫作指導(dǎo) 論文投稿推薦期刊
期刊驗(yàn)證論文檢測(cè) 錄用通知往期目錄
SCI
SCI指導(dǎo)影響因子
期刊點(diǎn)評(píng)基金動(dòng)態(tài)
其它
經(jīng)濟(jì)教育計(jì)算機(jī)
建筑體育農(nóng)業(yè)
北京|天津|河北|山西|湖北|江蘇|安徽|山東|上海|浙江|江西|福建|湖南|寧夏|內(nèi)蒙古|河南
四川|重慶|貴州|云南|遼寧|吉林|廣東|廣西|海南|陜西|甘肅|新疆|青海|衛(wèi)生部直屬|黑龍江|兵團(tuán)
您現(xiàn)在的位置: 醫(yī)學(xué)全在線 > 醫(yī)學(xué)論文 > 論文投稿 > 正文:閉合復(fù)位交鎖髓內(nèi)釘治療脛骨干骨折
    

閉合復(fù)位交鎖髓內(nèi)釘治療脛骨干骨折

來(lái)源:本站原創(chuàng) 更新:2013-6-27 論文投稿平臺(tái)

骨科醫(yī)學(xué)論文-閉合復(fù)位交鎖髓內(nèi)釘治療脛骨干骨折

【摘要】  目的 觀察閉合復(fù)位交鎖髓內(nèi)釘治療脛骨干骨折的療效。方法 回顧分析采用閉合復(fù)位交鎖髓內(nèi)釘內(nèi)固定治療的脛骨干骨折患者32例。結(jié)果 所有患者獲得平均12個(gè)月( 5~24個(gè)月)隨訪, 均達(dá)到骨性愈合,平均臨床愈合時(shí)間4.8個(gè)月。其中骨折延遲愈合4例,采用動(dòng)力化后骨折愈合;發(fā)生骨不連2例,行二次手術(shù)植骨達(dá)骨性愈合。所有患者無(wú)血管神經(jīng)損傷,未發(fā)生感染。療效根據(jù)JohnerWruhs評(píng)定:優(yōu)24例,良5例,可2例,差1 例,優(yōu)良率90.6%。結(jié)論 閉合復(fù)位交鎖髓內(nèi)釘治療脛骨干骨折損傷小、固定牢靠、療效肯定,對(duì)于骨折延遲愈合患者動(dòng)力化可加快愈合。

【關(guān)鍵詞】  閉合復(fù)位 脛骨干骨折 交鎖髓內(nèi)釘 治療   

Therapeutic effect of closed reduction and interlocking intramedullary nails on fracture of shaft of tibia   DENG Songbo, ZHANG Yaoqiang, XU Huorong.  Huidong County People’s Hospital, Guangdong, Huidong 516300, China    【Abstract】  Objective  To observe the therapeutic effect of closed reduction and interlocking intramedullary nails on fracture of shaft of tibia. Methods  the data of 32 patients with fracture of shaft of tibia treated by closed reduction and interlocking intramedullary nails were retrospectively analyzed.Results  All the cases were followed up for average 12 months (5~24 months), and all the patients got bone union. The mean clinical union time was 4.8 months in which 4 cases got bone fracture delayed union. After using postmotivation fracture union,2 cases was not healed, after the second operation with bone graft, the 2 cases got bone union. None of case occurred nervi vasorum injury or infection. According to the JohnerWruhs function scale,24 cases were excellent, 5 cases were good, 2 cases were acceptable and 1 case was bad, and excellent and good rates reached 90.6% .Conclusion  The application of closed reduction and interlocking intramedullary nails in the treatment of fracture of shaft of tibia has advantages of little injury, stable fixation, definite therapeutic effect. Interlocking intramedullary nails can also speed up union in patient with bone fracture delayed union. bhskgw.cn      

【Key words】  closed reduction; fracture of shaft of tibia; interlocking intramedullary nails; treatment   

交鎖髓內(nèi)釘治療脛骨干骨折近年來(lái)開(kāi)展較多,具有可解剖復(fù)位、固定牢固的優(yōu)點(diǎn)。是目前治療脛骨干骨折的首選方法。本文選取自2003年3月至2008年3月我院采用閉合復(fù)位交鎖髓內(nèi)釘內(nèi)固定治療的脛骨干骨折患者32例進(jìn)行回顧分析,臨床效果滿意,報(bào)告如下。

   

[1] [2] [3] [4] [5] 下一頁(yè)

...
  • 沒(méi)有熱點(diǎn)文章
  • 關(guān)于我們 - 聯(lián)系我們 -版權(quán)申明 -誠(chéng)聘英才 - 網(wǎng)站地圖 - 網(wǎng)絡(luò)課程 - 幫助
    醫(yī)學(xué)全在線 版權(quán)所有© CopyRight 2006-2046, MED126.COM, All Rights Reserved
    浙ICP備12017320號(hào)
    百度大聯(lián)盟認(rèn)證綠色會(huì)員實(shí)名網(wǎng)站 360認(rèn)證可信網(wǎng)站 中網(wǎng)驗(yàn)證