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骨筋膜室综合征(acute limb compartment synclrome,ALCS)是骨伤科中较为严重的危重急症之一,最常发生于前臂掌侧及小腿前方,若不及时治疗,可迅速发展为部分组织坏死,后遗肌肉挛缩和神经功能障碍,严重者导致肢体坏死被迫截肢. 相似文献
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目的探讨双切口双钢板治疗Schatzker Ⅴ、Ⅵ型胫骨平台骨折的方法与临床疗效。方法对22例schatzkerⅤ、Ⅵ型胫骨平台骨折患者行双切口下复位并予双钢板植骨内固定术。结果22例患者均获得随访,随访时间8—24个月(平均15个月)。22例骨折均获得骨性愈合。按照Rasmussen评分标准评价膝关节功能,优9例,良8例,可3例,差2例。结论双切口能降低软组织损伤的并发症,双钢板固定牢固、稳定,有利于患者早期功能锻炼,促进膝关节功能恢复。双切口双钢板是治疗SchatzkerⅤ、Ⅵ型胫骨平台骨折的一种有效方法。 相似文献
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Objective: To explore a classification method which can provide the clinical guidance for internal fixation of tibial fracture.
Methods: The different fractures were fixed according to their mechanical classification. Totally, 71 cases of tibial plateau fracture, tibial proximal fracture, tibial distal fracture and Pilon fracture were analyzed to test this selective principle. Results: All 71 patients were followed up for 6-32 months. The displacement was seldomly observed in cases treated acccording to the classification principle, while some cases against the principle had postoperative displacement.The difference was statistically significant (P〈0.05). It was proved that there was remarkable correlation between tibial fracture classification, internal fixator and fixation methods.
Conclusion: Types Ⅲa3, Ⅲb 1 and Ⅲb2 fractures without eccentric moment should be fixed with double plates or angle-stable materials combined with locking structure, otherwise displacement may occur. 相似文献
Methods: The different fractures were fixed according to their mechanical classification. Totally, 71 cases of tibial plateau fracture, tibial proximal fracture, tibial distal fracture and Pilon fracture were analyzed to test this selective principle. Results: All 71 patients were followed up for 6-32 months. The displacement was seldomly observed in cases treated acccording to the classification principle, while some cases against the principle had postoperative displacement.The difference was statistically significant (P〈0.05). It was proved that there was remarkable correlation between tibial fracture classification, internal fixator and fixation methods.
Conclusion: Types Ⅲa3, Ⅲb 1 and Ⅲb2 fractures without eccentric moment should be fixed with double plates or angle-stable materials combined with locking structure, otherwise displacement may occur. 相似文献
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目的:探讨上睑皮肤松弛就医者实施“刀腹”位置在外眦部内上方的“柳叶刀形”切开去皮重睑术的手术效果。方法:对56例上睑皮肤松弛的就医者,设计“刀腹”位置在外眦部内上方的“柳叶刀形”个性化切开去皮重睑术,沿设计线锐性切开皮肤,去除多余松弛上睑皮肤、部分眼轮匝肌、自然疝出脂肪,一定程度上保留睑板前疏松结缔组织和毛细血管网,根据重睑成形原理,精细解剖对位缝合。结果:56例就医者采用此术式,术后随访6个月至1年,术后效果满意。愈后重睑自然柔和,外眦角充分显露,外眦部无臃肿,形态自然,仿生效果好。结论:对上睑皮肤松弛者,采取“刀腹”位置在外眦部内上方的“柳叶刀形”个性化切开去皮重睑术,去除多余松弛上睑皮肤,更为关键的是对外眦部常规处理的改良,术后充分显露外眦部,外观自然,美容效果良好。 相似文献
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探讨截骨减压和膝关节冲洗治疗增生性关节炎的疗效 ,对 36例增生性膝尖节炎予以行髓内截骨减压和膝关节冲洗 ,术后 6月至 2年复查 ,膝关节疼痛、肿胀、活动功能得到改善 ,无并发症 相似文献
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股骨粗隆下骨折是一种不稳定型骨折,非手术治疗可导致髋内翻,下肢旋转,短缩、畸形等并发症,故现多数医生主张手术治疗。但该处骨折为应力集中区,手术难度大,如内固定物选择不当或术中操作失误,同样会造成内固定物不牢固或畸形愈合,导致手术失败。 相似文献
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股骨粗隆下骨折是一种不稳定型骨折,非手术治疗可导致髋内翻,下肢旋转,短缩、畸形等并发症,故现多数医生主张手术治疗.但该处骨折为应力集中区,手术难度大,如内固定物选择不当或术中操作失误,同样会造成内固定物不牢固或畸形愈合,导致手术失败.本科2004年1月~2008年6月采用95° DCS治疗股骨粗隆下不稳定型骨折24例,取得满意疗效,报道如下. 相似文献