中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
23期
3554-3555
,共2页
胫骨骨折%外科手术,微创性%骨折固定术%锁内加压钛板
脛骨骨摺%外科手術,微創性%骨摺固定術%鎖內加壓鈦闆
경골골절%외과수술,미창성%골절고정술%쇄내가압태판
Tibial fractures%Surgical procedures,minimally invasive%Fracture fixation%Invasive lock pressurized titanium plate
目的 探讨微创锁内加压钛板固定加植骨术治疗胫骨远端骨折的疗效.方法 回顾性分析63例采用微创锁内加压钛板固定加植骨治疗胫骨远端骨折患者的临床资料,随访12～18个月,观察骨折愈合情况及治疗后的Iowa评分.结果 手术时间55～126 min,平均73 min;出血量75～276 ml.随访12～18个月,平均14.7个月,骨折均获愈合,平均临床愈合时间3.1个月.其中1例骨折延迟愈合,3例钉道感染经抗感染、局部换药治疗后得到控制.Iowa评分治疗前(67.2±24.5)分,12个月后(93.7±29.1)分;优30例,良28例,中5例,差0例,优良率92.1％.结论 微创锁内加压钛板固定加植骨术是治疗胫骨远端骨折的有效方法.
目的 探討微創鎖內加壓鈦闆固定加植骨術治療脛骨遠耑骨摺的療效.方法 迴顧性分析63例採用微創鎖內加壓鈦闆固定加植骨治療脛骨遠耑骨摺患者的臨床資料,隨訪12～18箇月,觀察骨摺愈閤情況及治療後的Iowa評分.結果 手術時間55～126 min,平均73 min;齣血量75～276 ml.隨訪12～18箇月,平均14.7箇月,骨摺均穫愈閤,平均臨床愈閤時間3.1箇月.其中1例骨摺延遲愈閤,3例釘道感染經抗感染、跼部換藥治療後得到控製.Iowa評分治療前(67.2±24.5)分,12箇月後(93.7±29.1)分;優30例,良28例,中5例,差0例,優良率92.1％.結論 微創鎖內加壓鈦闆固定加植骨術是治療脛骨遠耑骨摺的有效方法.
목적 탐토미창쇄내가압태판고정가식골술치료경골원단골절적료효.방법 회고성분석63례채용미창쇄내가압태판고정가식골치료경골원단골절환자적림상자료,수방12～18개월,관찰골절유합정황급치료후적Iowa평분.결과 수술시간55～126 min,평균73 min;출혈량75～276 ml.수방12～18개월,평균14.7개월,골절균획유합,평균림상유합시간3.1개월.기중1례골절연지유합,3례정도감염경항감염、국부환약치료후득도공제.Iowa평분치료전(67.2±24.5)분,12개월후(93.7±29.1)분;우30례,량28례,중5례,차0례,우량솔92.1％.결론 미창쇄내가압태판고정가식골술시치료경골원단골절적유효방법.
Objective To study the effectiveness of minimally invasive lock pressurized titanium plate plus bone graft on distal tibial fracture.Methods 63 patients with distal tibial fracture were enrolled.They were operated through minimally invasive lock pressurized titanium plate plus bone graft.The Iowa was compared after follow-up.Results The fractures were all healed with three pin tract infection and nonunion.Iowa was(67.2±24.5)before operation and(93.7±29.1)after twelve months(P＜0.01).The excellent cases were 30 paeitnts,the good 28 cases,the suit 5 cases and the poor 0 cases.The excellent rate was 92.1％.Conclusion Minimally invasive lock pressurized titanium plate plus bone graft was an effe(ct)ive operation for distal tibial fracture.
