| 单臂外固定支架联合植骨治疗胫骨骨折骨不连 |
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| 引用本文： | 王延志,徐珞. 单臂外固定支架联合植骨治疗胫骨骨折骨不连[J]. 中国矫形外科杂志, 2006, 14(18): 1375-1377 |
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| 作者姓名： | 王延志 徐珞 |
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| 作者单位： | 1. 青岛大学医学院病理生理教研室,青岛,266021;泰安市中心医院骨科,山东,泰安,271000
2. 青岛大学医学院病理生理教研室,青岛,266021 |
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| 基金项目： | 国家自然科学基金;山东省青岛市科技局资助项目 |
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| 摘 要： | [目的]探讨单臂外固定支架联合植骨治疗胫骨骨折骨不连的优越性、安全性及疗效。[方法]自1996年以来应用单臂外固定支架治疗胫骨骨折骨不连43例，通过断端创新，自体髂骨植骨和轴向加压促进骨折愈合，早期活动以恢复关节功能。[结果]经术后6～15个月、平均10．3个月的随访，43例均获临床愈合，愈合时间为4—12个月，平均6．8个月，功能评价优35例，良7例，差1例。[结论]单臂外固定支架联合植骨治疗胫骨骨折骨不连，自体髂骨植骨和轴向加压促进骨折愈合，早期无痛关节活动有利于关节功能恢复，是一种即简便又切实可行的治疗方法。
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| 关 键 词： | 单臂外固定支架 胫骨骨折 骨不连 植骨 轴向加压 |
| 文章编号： | 1005-8478（2006）18-1375-03 |
| 收稿时间： | 2006-06-20 |
| 修稿时间： | 2006-06-23 |
External fixators combined with spongy bone implant in treatment of tibia fracture nonunion |
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| WANG Yan-zhi,XU Luo. External fixators combined with spongy bone implant in treatment of tibia fracture nonunion[J]. The Orthopedic Journal of China, 2006, 14(18): 1375-1377 |
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| Authors: | WANG Yan-zhi XU Luo |
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| Affiliation: | THe Department of Pathophysiology, Medical College of Qingdao University, Qingdao 266021, China |
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| Abstract: | [ Objective ] To investigate a minimally invasive, safe and effective method for treating the nonunion of tibia fracture with Bastianti external fixators. [ Method ] Bastianti external fixators were used to treat nonunion tibia fracture with axial force followed by functional exercises in early stage. [ Result] All cases showed tibia fracture union in 4 - 12 months after operation. According to the criterion of treatment effects, 35 cases were as excellent, 7 as good, and 1 as poor.[ Conclusion] It is a good method that nonunion of tibia fracture was treated with Bastianti external fixators for maintaining pain - free joint activity and joint functional recovery in early stage. |
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| Keywords: | bastianti external fixators fracture nonunion bone implant axial force |
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