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离合手法联合撬拨复位锁定钢板在粉碎型粗隆间骨折中的应用
引用本文:张才德,叶劲.离合手法联合撬拨复位锁定钢板在粉碎型粗隆间骨折中的应用[J].中国中医骨伤科杂志,2010(5):26-27,30.
作者姓名:张才德  叶劲
作者单位:湖北中医学院;湖北中医学院附属省中医院骨科;
摘    要:目的:探讨离合手法联合撬拨复位LCP内固定治疗粉碎型粗隆间骨折的效果、复位技巧和原理,从而提高临床疗效。方法:回顾性分析自2007年7月~2009年10月我院以离合手法联合撬拨复位配以LCP内固定治疗粉碎型粗隆间骨折的患者35例,其中A2.1型12例,A2.2型10例,A2.3型13例,分析手术时间、C臂机使用次数、骨折愈合情况及患髋Sanders评分。结果:患者平均手术时间55min,平均C臂机使用4次,骨折均已达到解剖复位,随访半年,骨折均愈合,Sanders评分:优10例,良22例,差3例。结论:运用离合手法联合撬拨法进行复位配以LCP内固定在治疗粉碎型粗隆间骨折中,复位效果确切,手术时间明显缩短,C臂机使用次数减少,临床效果佳,复位技巧简便实用。

关 键 词:离合手法  撬拨复位  粉碎型粗隆间骨折

The Application of On-off Technique and Poking Reduction with Internal Fixation by LCP on Comminuted Femoral Intertrochanteric Fracture
ZHANG Caide YE Jing Hubei College of Traditional Chinese Medicine,Wuhan ,China.The Application of On-off Technique and Poking Reduction with Internal Fixation by LCP on Comminuted Femoral Intertrochanteric Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2010(5):26-27,30.
Authors:ZHANG Caide YE Jing Hubei College of Traditional Chinese Medicine  Wuhan  China
Institution:ZHANG Caide1 YE Jing21 Hubei College of Traditional Chinese Medicine,Wuhan 430061,China2Department of Orthopaedics,Hubei Hospital of Traditional Chinese Medicine Affiliated to Hubei College of Traditional Chinese Medicine,China
Abstract:Objective:To discuss the effect,reduction skill and theory of on-off technique and poking reduction with internal fixation by LCP on comminuted femoral intertrochanteric fracture.Methods:A retrospective analysis of 35 patients with comminuted femoral intertrochanteric fracture was done,who received on-off technique and poking reduction with internal fixation by LCP from July 2007 to October 2009.Of the 35 patients,there were 12 cases of A2.1 type,10 of A2.2 type and 13 of A2.3 type.The duration of surgery,t...
Keywords:On-off technique  Poking reduction  Comminuted femoral intertrochanteric fracture  
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