| 临经皮穿针以相邻掌骨为支架治疗掌骨骨折 |
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| 引用本文： | 谢伟勇,汤拥军,卢仕良,田宜肥,谭新东. 临经皮穿针以相邻掌骨为支架治疗掌骨骨折[J]. 中华创伤骨科杂志, 2003, 0(3) |
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| 作者姓名： | 谢伟勇 汤拥军 卢仕良 田宜肥 谭新东 |
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| 作者单位： | 武警广东总队医院烧伤整形科 510507广州市(谢伟勇，汤拥军，卢仕良，田宜肥)，武警广东总队医院烧伤整形科 510507广州市(谭新东) |
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| 摘 要： | 目的报告闭合复位经皮穿针以相邻掌骨为支架治疗掌骨骨折。方法采用闭合复位经皮穿针以相邻掌骨为支架治疗相邻掌骨间单一性骨折、相邻掌骨间多发性骨折和第一掌骨基底部骨折,共68例87处,其中开放性骨折32例45处,闭合性骨折36例42处。结果平均随访10个月,3个月后愈合率为96.6%;所有指关节活动功能按TAM标准评定,优良率98.9%。结论闭合复位经皮穿针以相邻掌骨为支架治疗掌骨骨折固定可靠,可早期进行功能锻炼。
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| 关 键 词： | 掌骨骨折 微创 经皮克氏针内固定 闭合复位 |
Close reduction and percutaneous K-wire fixation involving bordered metacarpus in treatment of metacarpus fractures |
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| XIE Wei yong,TANG Yong jun,LU Shi liang,TIAN Yi fei,TAN Xin dong. Close reduction and percutaneous K-wire fixation involving bordered metacarpus in treatment of metacarpus fractures[J]. Chinese Journal of Orthopaedic Trauma, 2003, 0(3) |
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| Authors: | XIE Wei yong TANG Yong jun LU Shi liang TIAN Yi fei TAN Xin dong |
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| Affiliation: | XIE Wei yong,TANG Yong jun,LU Shi liang,TIAN Yi fei,TAN Xin dong. Department of Plastic Surgery and Burns,Guangdong Provincial Corps Hospital,Chinese People's Armed Police Forces,Guangzhou 510507,China |
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| Abstract: | Objective To report the close reduction and K wire fixation involving the border metacarpus in treatment of metacarpus fractures. Methods 68 cases(87 locations) of metacarpus fractures were treated with close reduction and K wire fixation involving the border metacarpus and with early recovery movement.There were 32 cases (45 locations) of open fracture, and 36 cases (42 locations) of close fracture. Results All the patients were followed up for a mean time of 10 months.96.6% of the patients got bone union within 3 months . According to the standard of TAM,98.8% of patients got good function. Conclusion The treatment of metacarpus fractures by close reduction and K wire fixation involving the border metacarpus is of significant value due to the advantages of rigid fixation and early movement. |
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| Keywords: | Metacarpus fracture Minimally invasive Percutaneous K wire internal fixation Close reduction |
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