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| 胫骨远端骨折三种手术方法疗效对比分析 | |
| 引用本文： | 王海川,随承锋,桑原田. 胫骨远端骨折三种手术方法疗效对比分析[J]. 中国全科医学, 2011, 14(17) |
| 作者姓名： | 王海川 随承锋 桑原田 |
| 作者单位： | 辽宁省大连市第五人民医院骨科,116023 |
| 摘 要： | 目的对比分析胫骨远端骨折三种手术方法的临床适应证和疗效.方法 2001年1月-2010年2月我科采用手术治疗胫骨远端骨折83例,分别采用切开复位内固定(ORIF)、经皮微创插入钢板内固定(MIPPO)及有限切开内固定辅助外固定架外固定3种手术方法治疗.结果 3组患者术后均随访,随访时间8个月～4年,平均(17±6.9)个月,按AOFAS评分标准评价术后功能,3组患者的术中术后出血量、骨折愈合时间、恢复工作时间、并发症发生率以及术后优良率比较,差异均无统计学意义( P ＞0.05),但手术时间MIPPO组明显长于其他两组,差异有统计学意义( P ＜0.05).结论 外固定是治疗严重骨折损伤安全有效的方法,ORIF可作为低能量损伤的最终治疗方法,MIPPO特别适于不涉及关节面的干骺端粉碎骨折.根据软组织条件和骨折类型,选择恰当手术时机和手术方法,均可有效避免并发症,获得满意疗效. |
| 关 键 词： | 胫骨骨折 骨折固定术,内 外固定器 软组织损伤 |
Analysis of Three Approaches for the Treatment of the Distal Tibial Fracture |
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| WANG Hai-chuan,SUI Cheng-feng,SANG Yuan-tian. Analysis of Three Approaches for the Treatment of the Distal Tibial Fracture[J]. Chinese General Practice, 2011, 14(17) | |
| Authors: | WANG Hai-chuan SUI Cheng-feng SANG Yuan-tian |
| Affiliation: | WANG Hai-chuan,SUI Cheng-feng,SANG Yuan-tian.Department of Orthopaedics,the Fifth People's Hospital of Dalian,Dalian 116023,China |
| Abstract: | Objective To comparative analysis the effects and methods for treatment of the distal tibial fracture.Methods We analyzed the results of 83 cases of distal tibial fracture during Jan 2001 to Feb 2010.Treated with three approaches as external surgical approach open reduction & internal fixation(ORIF) and internal surgical approach by minimally invasive percutaneous plate osteosynthesis(MIPPO),with finite section internal fixation assisted external fixation in fixed frame.Results All patients were followed up... |
| Keywords: | Tibial fracture Fracture fixation internal External fixators Soft tissue injuries |
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