| 创伤后感染性胫骨骨不连的骨外固定治疗 |
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| 引用本文： | 许建中 李起鸿. 创伤后感染性胫骨骨不连的骨外固定治疗[J]. 中华骨科杂志, 1997, 17(9): 577-579,I003 |
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| 作者姓名： | 许建中 李起鸿 |
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| 作者单位： | 第三军医大学西南医院骨科 |
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| 摘 要： | １９８２－１９９５年，应用半环槽式外固定器成功的了２１例外伤后感染性胫骨骨不连，并对６例肢体短缩才重建了肢体长度。２１例均采用骨外固定器行骨断端加压固定，所有病便均行腓骨截骨术。合并肢体短缩者６例于同期或二期行胫呈下干骺端截骨延长术，以达到肢体长度的均衡。虽有再骨折、针道感染、钢针松动等并发症，但所有骨不连最终均达到愈合，创面感染快速得到控制。骨愈合时间３－１１个月，平均５个半月。肢体短缩者６均例
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| 关 键 词： | 骨外固定 感染 骨不连 胫骨骨不连 |
External Skeletal Fixation for the Treatment of Infected Posttraumatic Tibial Nonunion |
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| Xu Jianzhong,Li Qihong,Yang Liu,et al.. External Skeletal Fixation for the Treatment of Infected Posttraumatic Tibial Nonunion[J]. Chinese Journal of Orthopaedics, 1997, 17(9): 577-579,I003 |
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| Authors: | Xu Jianzhong Li Qihong Yang Liu et al. |
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| Affiliation: | Xu Jianzhong,Li Qihong,Yang Liu,et al. Department of Orthopaedics,Southwest Hospital of the Third Military Medical University,Chongqing 630038 |
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| Abstract: | From 1982 to 1995, 21 cases of infected posttraumatic tibial nonunion were treated with external skeletal fixation. Six cases of leg shortening were treated at the same setting or in two stages of metapphyseal osteotomy and bone lengthening. Though there were some complications such as refracture at the original fracture site, pin tract infection and pin loosening etc, union and eradication of infection were achieved within 3-11 months eventually. For the six cases of limb discrepancy, limb shortenings were corrected. The advantages of this method of treatment are: (1)stable and elastic fixation with adjustable rigidity and low stress protection rate, (2)no interference with blood circulation of the bone ends, (3)convenience in nursing care and simultaneous correction of the associated deformities, (4)early mobilization and weight bearing. |
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| Keywords: | External skeletal fixation Infection Bone nonunion Tibia |
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