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单边外固定支架治疗儿童闭合性胫腓骨骨折21例
引用本文:蒋宜伟,宋敏,张虎林,张晓刚,郭小荣,王端. 单边外固定支架治疗儿童闭合性胫腓骨骨折21例[J]. 中医儿科杂志, 2011, 7(3): 41-43
作者姓名:蒋宜伟  宋敏  张虎林  张晓刚  郭小荣  王端
作者单位:1. 甘肃中医学院,甘肃,兰州,730000
2. 甘肃中医学院附属医院,甘肃,兰州,730020
摘    要:目的:探讨单边外固定支架治疗儿童闭合性胫腓骨骨折的疗效,分析外固定支架治疗的优缺点.方法:2004年9月至2010年6月,应用单边外固定支架治疗35例儿童闭合性胫腓骨骨折,21例获得随访.在C形臂透视下进行闭合复位,单边外固定支架固定.结果:手术时间50~150 min,平均72 min;骨性愈合时间14~20周,平均16.1周;无1例因针道感染导致外固定支架失效.4例固定过程中出现Ⅰ~Ⅱ级针道感染,通过换药等手段控制.21例术后随访14~36月,平均30月,骨折全部骨性愈合.结论:应用单边外固定支架治疗儿童闭合性胫腓骨骨折,不破坏骨折段端血运,且固定牢固,允许早期关节活动及负重练习.

关 键 词:胫腓骨骨折  闭合复位  外固定支架  儿童

Unilateral external fixation therapy for the treatment of 21 cases of children with closed tibia and fibula fractures
Jiang Yiwei,Song Min,Zhang Hulin,Zhang Xiaogang,Guo Xiaorong,Wang Duan. Unilateral external fixation therapy for the treatment of 21 cases of children with closed tibia and fibula fractures[J]. Journal of Pediatrics of Traditional Chinese Medicine, 2011, 7(3): 41-43
Authors:Jiang Yiwei  Song Min  Zhang Hulin  Zhang Xiaogang  Guo Xiaorong  Wang Duan
Affiliation:Jiang Yiwei1,Song Min1,Zhang Hulin2,Zhang Xiaogang2,Guo Xiaorong2,Wang Duan2(1.Gansu College of Traditional Chinese Medicine,Lanzhou,Gansu,730000,China,2.Affiliated Hospital of Gansu College of Traditional Chinese Medicine,730020,China)
Abstract:Objective: To investigate the efficacy of unilateral external fixation therapy in treating children with closed tibia and fibula fractures and analyze the advantages and disadvantages of the external fixation therapy.Methods: 35 children patients with closed tibia and fibula fractures,from September 2004 to June 2010,were treated with the external fixation therapy.Following surveys were made among 21 cases of them.Closed restorations were achieved in the C-arm fluoroscopy,with unilateral external fixation.R...
Keywords:tibia and fibula fracture  closed restoration  external fixator  children  
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