| 基于骨皮质形态特点选择胫骨下段骨折钢板固定位置 |
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| 引用本文： | 翁建东,沈进稳,童培建,刘讯. 基于骨皮质形态特点选择胫骨下段骨折钢板固定位置[J]. 临床骨科杂志, 2011, 14(3): 322-325 |
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| 作者姓名： | 翁建东 沈进稳 童培建 刘讯 |
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| 作者单位： | 1. 诸暨第三人民医院骨科,浙江,诸暨,311825
2. 浙江省中医院骨科,浙江,杭州,310006 |
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| 摘 要： | 目的探讨骨皮质形态特点对胫骨中下段骨折钢板内固定位置的作用。方法手术治疗46例不涉及关节面的胫骨下段骨折,其中胫骨内侧解剖型钢板内固定23例（内侧固定组）,胫骨外侧解剖型钢板内固定23例（外侧固定组）。比较两种术式的并发症发生情况。进行临床和X线片检查随访,同时CT重建患侧胫骨骨皮质,利用Photoshop 7.0软件计算骨皮质面积。结果患者均获随访,时间12～36个月。内侧固定组出现骨折迟缓愈合1例,无骨折移位;外侧固定组出现骨折迟缓愈合6例,骨折移位2例。与外侧固定组比较,内侧固定组骨折迟缓愈合率低（P〈0.05）。胫骨中远段骨皮质面积比较,内侧骨皮质面积较外侧骨皮质大（P〈0.01）,前侧骨皮质面积较后侧骨皮质大（P〈0.01）。结论对于闭合不涉及关节面的胫骨下段骨折,内侧固定组具有更加符合天然骨生物力学条件、并发症少等特点,应优先考虑使用。
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| 关 键 词： | 骨皮质 胫骨骨折 骨折固定术,内 |
Morphological characteristics of cortical bone determines plate location in mid-distal tibia fracture |
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| WENG Jian-dong,SHEN Jin-wen,TONG Pei-jian,LIU Xun. Morphological characteristics of cortical bone determines plate location in mid-distal tibia fracture[J]. Journal of Clinical Orthopaedics, 2011, 14(3): 322-325 |
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| Authors: | WENG Jian-dong SHEN Jin-wen TONG Pei-jian LIU Xun |
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| Affiliation: | (Dept of Orthopadic Surgery,the Third People′s Hospital of Zhuji,Zhuji,Zhejiang 311825,China) |
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| Abstract: | Objective To explore the morphological characteristics of cortical bone in mid-distal tibial related to plate location in mid-distal tibial fracture.Methods 46 patients with lower segmental tibial fractures(no pilon fractures)were hospitalized,and divided into two groups(23 patients fixed with medial plate,23 patients fixed with lateral plate).The occurrence of postoperative complications were recorded and compared separately between the two groups.All patients were followed clinically and radiographically.... |
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| Keywords: | cortical bone tibia fracture fracture fixation internal |
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