| 开放性胫骨骨折Ⅰ期清创髓内固定 |
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| 引用本文： | 陈勇,赵建宁,陆维举,曾晓峰,周利武,陈跃先,包倪荣,徐海栋.开放性胫骨骨折Ⅰ期清创髓内固定[J].医学研究生学报,2006,19(12):1098-1100. |
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| 作者姓名： | 陈勇 赵建宁 陆维举 曾晓峰 周利武 陈跃先 包倪荣 徐海栋 |
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| 作者单位： | 南京军区南京总医院骨科,江苏,南京,210002 |
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| 基金项目： | 江苏省社会发展基金;南京军区总医院科研项目 |
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| 摘 要： | 目的：开放性胫骨骨折Ⅰ期髓内固定后评价清创时间、方法、Gustilo＇s骨折类型和腓骨骨折固定与否对骨折愈合的影响。方法：对52例开放性胫骨骨折进行回顾性分析，其中1例2处骨折。随访6～24个月，平均随访10．5个月。结果：患者中1例骨不连，2例软组织感染，无骨感染发生。结论：早期正确处理开放小腿伤口，可进行Ⅰ期骨折内固定。
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| 关 键 词： | 开放性胫骨骨折 Ⅰ期髓内固定 骨愈合 |
| 文章编号： | 1008-8199(2006)12-1098-03 |
| 修稿时间： | 2005年12月15 |
Treatment of open tibia fracture with primary irrigation and debridement and intermedullary fixation |
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| CHEN Yong,ZHAO Jian-ning,LU Wei-ju,ZENG Xiao-feng,ZHOU Li-wu,CHEN Yue-xian,BAO Ni-rong,XU Hai-dong.Treatment of open tibia fracture with primary irrigation and debridement and intermedullary fixation[J].Bulletin of Medical Postgraduate,2006,19(12):1098-1100. |
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| Authors: | CHEN Yong ZHAO Jian-ning LU Wei-ju ZENG Xiao-feng ZHOU Li-wu CHEN Yue-xian BAO Ni-rong XU Hai-dong |
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| Abstract: | Objective:To evaluate the influence of time from injury to operative irrigation and debridement,methods,Gustilo fracture type and fibula fracture fixation type on fracture healing after open tibia fracture intermedullary fixation.Methods:52 patients with open tibia fractures were retrospectively reviewed,Of these,there was one patient with two fractures,all pationts were available for this study,with an average follow-up of 10.5 months(range 6-24 months). Results:Of all fractures,2 fractures have nonunion,but no infection occurred. Conclusion:One stage intermedullary fixation was feasible after proper management of open tibia fractures. |
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| Keywords: | Open tibia fractures Primary intermedullary fixation Fracture healing |
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