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胫、腓骨开放性骨折外固定架治疗及骨延迟愈合临床体会
引用本文:赵玉,杨进顺,黄文铎,吕浩然.胫、腓骨开放性骨折外固定架治疗及骨延迟愈合临床体会[J].国际医药卫生导报,2008,14(1):21-23.
作者姓名:赵玉  杨进顺  黄文铎  吕浩然
作者单位:广州医学院第二附属医院骨外科,广东广州,510260
摘    要:目的 探讨使用外固定支架治疗开放性胫、腓骨骨折及术后骨折延迟愈合的原因及治疗方法.方法 对27例开放性胫腓骨骨折在急诊硬腰联合麻醉下行清创、单臂支架外固定治疗;骨延迟愈合行二次手术局部植骨,调整支架处理.结果 多数病例治疗效果佳,术后的5例骨折延迟愈合经处理后均痊愈:随访9-25个月,所有患肢功能恢复满意.结论 外固定支架治疗开放性胫腓骨骨折疗效肯定,术后不同原因导致的骨折延迟愈合经过恰当方法处理是可以治愈的.

关 键 词:胫骨  腓骨  开放性骨折  外固定  骨延迟愈合  骨开放性骨折  外固定架治疗  骨延迟愈合  临床体会  Tibia  Union  Delayed  Reason  Study  Clinical  Treatment  Fixation  External  Fracture  治愈  恰当方法  疗效肯定  功能恢复  患肢  随访
文章编号:1007-1245(2008)01-0021-03
收稿时间:2007-11-05
修稿时间:2007年11月5日

Clinical Study on Reason of Delayed Union of Tibia、Fibula Fracture by Treated with External Fixation and Treatment
ZHAO Yu ,YANG Jinshun ,HUANG Wenduo ,et al.Clinical Study on Reason of Delayed Union of Tibia、Fibula Fracture by Treated with External Fixation and Treatment[J].International Medicine & Health Guidance News,2008,14(1):21-23.
Authors:ZHAO Yu  YANG Jinshun  HUANG Wenduo  
Abstract:Objective To analyse the reason of delayed union of tibia fibular shaft open fractures by treated with external fixation and treatment.Methods 27 cases of open fractures of tibia fibular were cleaned and treated with external fixture in epidural and arachnoids anesthesia.Results Most cases showed good result,5 cases of delayed union recovered completely after treatment;After 9 to 25 months,function of broken extremity recovered all well.Conclusion The effect of single lateral external fixture in treating open fractures of tibia fibular is reliable,and the different reasons caused delayed union after operation can be cured by proper treatment.
Keywords:Tibia Fibula Open fracture External fixation Delayed union
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