| 半环槽式外固定支架治疗胫腓骨严重开放性骨折 |
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| 引用本文： | 刘昌生,吴永祥,韦家宁,廖永发,李振宏.半环槽式外固定支架治疗胫腓骨严重开放性骨折[J].临床骨科杂志,2009,12(5):547-549. |
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| 作者姓名： | 刘昌生 吴永祥 韦家宁 廖永发 李振宏 |
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| 作者单位： | 1. 玉林市骨科医院脊柱外科,广西,玉林,537000
2. 广西医科大学一附院创伤手外科,广西,南宁,530021 |
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| 摘 要： | 目的探讨半环槽式外固定支架治疗胫腓骨严重开放性骨折的疗效。方法对36例胫腓骨严重开放性骨折进行半环支架固定治疗,其中9例为已行钢板内固定术后钢板松动或断裂者。结果随访1～4年,29例术后6个月骨性愈合,2例12个月愈合,2例13个月愈合,1例16个月愈合,2例24个月愈;发生钉道感染7例,无慢性骨髓炎发生。结论在胫腓骨严重开放性骨折的临床治疗中,半环外固定支架疗效较好,对减少并发症和促进骨折愈合具有积极的意义。
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| 关 键 词： | 半环槽外固定支架 胫骨骨折 腓骨骨折 骨折 开放性 |
Half-circle external fixation for severe open tibiofibular fracture |
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| LIU Chang-sheng,WU Yong-xiang,WEI Jia-ning,LIAO Yong-fa,LI Zhen-hong.Half-circle external fixation for severe open tibiofibular fracture[J].Journal of Clinical Orthopaedics,2009,12(5):547-549. |
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| Authors: | LIU Chang-sheng WU Yong-xiang WEI Jia-ning LIAO Yong-fa LI Zhen-hong |
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| Institution: | Dept of Spinal Surgery;Yulin Orthopaedic Hospital;Yulin;Guangxi 537000;China |
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| Abstract: | Objective To explore the therapeutic effects of half-circle external fixation for severe open tibiofibular fracture.Methods 36 patients with severe open tibiofibular fracture were treated by half-circle external fixation,of which 9 cases were previously fixed by plates and failed.Results All cases were followed up for 1～4 years.29 got bony healing after a half year,2 got union after a year,2 got union after 13 months,1 got union in 16 months and 2 got union in 2 years.7 got pin tract infection.No chronic osteomyelitis was found.Conclusions Half-circle external fixation is good for treating severe open tibiofibular fracture,and is effective to reduce the complication and accelerate bone healing. |
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| Keywords: | half-circle external fixation tibial fractures fibular fractures fractures open |
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