| 伴皮肤软组织缺损拇指指骨骨折一期修复 |
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| 引用本文： | 汪银锋,蔡培华,阮洪江,范存义. 伴皮肤软组织缺损拇指指骨骨折一期修复[J]. 国际骨科学杂志, 2008, 29(5) |
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| 作者姓名： | 汪银锋 蔡培华 阮洪江 范存义 |
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| 作者单位： | 上海交通大学附属第六人民医院骨科,200233;上海交通大学附属第六人民医院骨科,200233;上海交通大学附属第六人民医院骨科,200233;上海交通大学附属第六人民医院骨科,200233 |
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| 摘 要： | 目的 探讨急诊一期钢板内固定结合示指背岛皮瓣修复伴皮肤软组织缺损拇指指骨骨折的临床疗效.方法 2003年7月至2007年7月,对35例伴皮肤软组织缺损拇指指骨骨折患者,采用钢板固定结合示指背岛皮瓣覆盖创面一期修复.结果 平均随访时间3.5年(1～5年),皮瓣全部成活,功能恢复较好,外观满意;骨折平均愈合时间3个月(2～4.5个月),无骨不连及畸形愈合,无感染.结论 示指背岛皮瓣结合坚强内固定,是急诊修复伴皮肤软组织缺损拇指指骨骨折的有效方法.
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| 关 键 词： | 指骨骨折 皮肤软组织缺损 示指背岛皮瓣 一期修复 |
One-stage repair of thumb fracture with soft tissue defect |
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| WANG Yin-feng CAI Pei-hua RUAN Hong-jiang. One-stage repair of thumb fracture with soft tissue defect[J]. International Journal of Orthopaedics, 2008, 29(5) |
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| Authors: | WANG Yin-feng CAI Pei-hua RUAN Hong-jiang |
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| Affiliation: | WANG Yin-feng CAI Pei-hua RUAN Hong-jiang Department of Orthopaedics,The Sixth People's Hospital,Shanghai Jiaotong University,Shanghai 200233,China |
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| Abstract: | Objective To analysis the clinical effect of one-stage treatment of thumb fracture with soft tissue defect by using dorsal indieis island flap and internal fixation.Methods Between July 2003 and July 2007,thirty-five patients having thumb fracture and soft tissue defect were treated in our emergency.The fracture was fixed by the plate,and the soft tissue defect was coverd by dorsal indicis island flap.Results The average follow-up time was 3.5 years (range from 1 to 5 years).All the flaps were survived,the ... |
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| Keywords: | Thumb fracture Soft tissue defect Dorsal indicis island flap One-stage repair |
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