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二期经小腿后内侧入路植骨治疗胫骨下段开放骨折术后骨缺损
引用本文:洪加源,康两期,丁真奇,练克俭,郭林新,林斌. 二期经小腿后内侧入路植骨治疗胫骨下段开放骨折术后骨缺损[J]. 临床骨科杂志, 2010, 13(3): 241-242
作者姓名:洪加源  康两期  丁真奇  练克俭  郭林新  林斌
作者单位:解放军第175医院全军创伤骨科中心,厦门大学附属东南医院,福建,漳州,363000
基金项目:南京军区医学科研创新资助项目 
摘    要:
目的探讨二期经小腿后内侧入路植骨治疗胫骨下段开放骨折术后骨缺损的临床疗效。方法采用二期小腿后内侧入路取髂骨植骨对24例胫骨下段开放粉碎性骨折术后骨缺损的患者进行手术治疗。结果 24例均获随访,时间12~18个月。伤口均一期愈合,无皮肤坏死、伤口感染、骨外露等严重并发症;植骨融合时间距植骨后12~18(16±2)周。踝关节功能根据Mazur评分系统评定:优20例,良2例,可2例。结论小腿后内侧入路因其具有显露充分、术后软组织并发症少等优点,二期经小腿后内侧入路植骨是治疗胫骨下段开放骨折术后骨缺损有效且可靠的方法 。

关 键 词:胫骨骨折  骨缺损  入路  植骨术

Second stage bone-grafting by posteromedial approach for postoperative bone defect of distal tibia open fracture
HONG Jia-yuan,KANG Liang-qi,DING Zhen-qi,LIAN Ke-jian,GUO Lin-xin,LIN Bin. Second stage bone-grafting by posteromedial approach for postoperative bone defect of distal tibia open fracture[J]. Journal of Clinical Orthopaedics, 2010, 13(3): 241-242
Authors:HONG Jia-yuan  KANG Liang-qi  DING Zhen-qi  LIAN Ke-jian  GUO Lin-xin  LIN Bin
Affiliation:HONG Jia-yuan,KANG Liang-qi,DING Zhen-qi,LIAN Ke-jian,GUO Lin-xin,LIN Bin(Dept of Orthopaedics,the 175th Hospital of PLA,the Center of Orthopedic Trauma,Affiliated Hospital of Xiamen University.Zhangzhou,Fujian 363000,China)
Abstract:
Objective To observe the effect of second stage bone-grafting by posteromedial approach for postoperative bone defect of distal tibia open fracture.Methods Twenty-four patients of postoperative bone defect with distal tibia open fractures were treated with second stage bone-grafting by posteromedial approach.Results All cases were followed up for 12~18 months.All wounds got primary healing.There were no severe complication such as necrosis of skin and infection and bone exposure.All fractures obtained bone ...
Keywords:tibial fractures  bone defect  approach  bone-grafting  
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