| 带锁髓内钉的微创手术处理与临床分析(附110例报告) |
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| 引用本文： | 臧晓方,詹瑞森,张朝跃,周勇,江皓,雷翔宇. 带锁髓内钉的微创手术处理与临床分析(附110例报告)[J]. 中国医师杂志, 2002, 4(9): 967-968,971 |
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| 作者姓名： | 臧晓方 詹瑞森 张朝跃 周勇 江皓 雷翔宇 |
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| 作者单位： | 1. 中南大学湘雅三医院骨科,湖南,长沙,410013
2. 洛阳轴承集团公司总医院骨科 |
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| 摘 要： | 目的 分析带锁髓内钉微创手术方法治疗股骨及胫骨及胫骨骨折的效果。探讨手术成功的关键。方法 对110例下肢骨折采用带锁髓内钉治疗。其中微创小切口固定78例。闭合性穿钉32例。结果 全部病例得到随访。平均16个月，15例延迟愈合，骨折均于半年后愈合。结论 带锁髓内钉的微创手术治疗下肢骨折具有创伤小，固定坚强，骨折愈合率高，能早期活动等优点。但应掌握正确的手术技巧。
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| 关 键 词： | 带锁髓内钉 骨折内固定术 微创技术 临床分析 股骨骨折 胫骨骨折 |
| 文章编号： | 1008-1372(2002)09-0967-03 |
The Mini-invasive Operation of Intramedullary Interlocking Nail and An Clinical Analysis |
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| ZANG Xiao-fang,ZHAN Rui-sen,ZHOU Yong,et al.. The Mini-invasive Operation of Intramedullary Interlocking Nail and An Clinical Analysis[J]. Journal of Chinese Physician, 2002, 4(9): 967-968,971 |
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| Authors: | ZANG Xiao-fang ZHAN Rui-sen ZHOU Yong et al. |
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| Affiliation: | ZANG Xiao-fang,ZHAN Rui-sen,ZHOU Yong,et al.Department of Orthopaedics,Third Xiangya Hospital,Central South University,Changsha,410013,China |
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| Abstract: | Objective To analyse the application effect of intramedullary interlocking nail in the treatment of femoral and tibial fracture,to discuss the key of the mini-invasive operation.Methods 110 cases of femoral and tibial fracture treated by intramedullary nail from May,1997 to Oct,2001 were reviewed,78 cases were treated by mini-invasive open-reduction and internal fixation,32 cases were treated by intermal fixation without open-reduction.Results All cases were followed-up ,15 cases were delayed at the healing time,but all cases were healed in six months.Conclusion The application of intramedullary nail in the treatment of femoral and tibial frature by mini-invasion has advantages of less trauma,strong fixation,high healing rate,early motion can be obtanied ,but the key of the operation must be grasped. |
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| Keywords: | Intramedullary interlocking nail Femoral and tibial fracture Internal fixation Mini-invasion |
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