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AO微型钛板结合同种异体骨治疗掌指骨粉碎性骨折
引用本文:郑水长,高仕长,李俊明,李道选,黄贺军,蒋电明. AO微型钛板结合同种异体骨治疗掌指骨粉碎性骨折[J]. 重庆医科大学学报, 2010, 35(2)
作者姓名:郑水长  高仕长  李俊明  李道选  黄贺军  蒋电明
作者单位:重庆医科大学附属第一医院骨科,重庆,400010;河南省漯河医学高等专科学校第二附属医院显微骨科,漯河,462300
摘    要:目的:探讨AO微型钛板结合同种异体骨移植治疗伴骨缺损的掌指骨粉碎性骨折的治疗效果.方法:2004年3月至2008年1月,应用AO微型钛板结合同种异体骨移植治疗伴骨缺损的掌指骨粉碎性骨折30例38指,术后早期功能锻炼及康复指导.结果:术后30例中24例伤口一期愈合,4例发生伤El红肿渗出,拆除部分缝线引流换药后愈合,2例发生皮肤软组织坏死钢板外露,经皮瓣修复后创口闭合.X线片显示骨折愈合时间为6~12周,平均8周.术后随访6个月~3年,按中华医学会手外科学会手部功能评定标准,优22例,良5例,可2例,差1例,优良率90%.结论:AO微型钛板结合同种异体骨移植治疗伴骨缺损的掌指骨粉碎性骨折临床效果良好.

关 键 词:粉碎性骨折  AO 微型钛板  掌骨  指骨  同种异体骨

AO micro-titanium combined with allograft bone in treating comminuted metacarpal and phalanx fractures
ZHENG Shui-chang,et al. AO micro-titanium combined with allograft bone in treating comminuted metacarpal and phalanx fractures[J]. Journal of Chongqing Medical University, 2010, 35(2)
Authors:ZHENG Shui-chang  et al
Affiliation:ZHENG Shui-chang,et al (Department of Orthopedics,the First Affiliated Hospital,Chong qing Medical University)
Abstract:Objective:To explore the effects of using AO micro-plate and allograft bone to treat the comminuted metacarpal and phalanx fractures with bone defects.Methods:From March 2004 to January 2008,we used micro-AO plate and allograft bone to treat 38 comminuted metacarpal and phalanx fractures with bone defect.The patients were allowed to begin flexion and extension of the injured joint on the fourth day after surgery.Results:24 in 30 patients healed,4 patients were infected and they healed finally by drainage an...
Keywords:Comminuted fracture  AO micro-titanium  Metacarpal  Phalanx  Allograft bone
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