世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
16期
77-77,53
,共2页
开放性骨折%外固定支架%内固定%小腿
開放性骨摺%外固定支架%內固定%小腿
개방성골절%외고정지가%내고정%소퇴
Open fracture%External ifxator%Internal ifxation%A lower leg
目的：探讨外固定支架结合有限内固定治疗小腿开放性骨折的临床应用。方法选自2002年1月致2012年12月31例小腿严重开放性骨折患者应用该方法治疗。结果随访6～18个月，31例骨折患者26例住院期间伤口一期愈合，骨折一年内愈合。5例二期皮瓣移植二月内创面愈合，骨折一年半内全部愈合。无一例骨髓炎发生。依Johner-wruhs关节功能评定标准进行评价，优22例，良7例，可3例，优良率93.5%。结论外固定支架结合有限内固定治疗小腿开放性骨折，尤其软组织挫伤较重者，疗效满意。
目的：探討外固定支架結閤有限內固定治療小腿開放性骨摺的臨床應用。方法選自2002年1月緻2012年12月31例小腿嚴重開放性骨摺患者應用該方法治療。結果隨訪6～18箇月，31例骨摺患者26例住院期間傷口一期愈閤，骨摺一年內愈閤。5例二期皮瓣移植二月內創麵愈閤，骨摺一年半內全部愈閤。無一例骨髓炎髮生。依Johner-wruhs關節功能評定標準進行評價，優22例，良7例，可3例，優良率93.5%。結論外固定支架結閤有限內固定治療小腿開放性骨摺，尤其軟組織挫傷較重者，療效滿意。
목적：탐토외고정지가결합유한내고정치료소퇴개방성골절적림상응용。방법선자2002년1월치2012년12월31례소퇴엄중개방성골절환자응용해방법치료。결과수방6～18개월，31례골절환자26례주원기간상구일기유합，골절일년내유합。5례이기피판이식이월내창면유합，골절일년반내전부유합。무일례골수염발생。의Johner-wruhs관절공능평정표준진행평개，우22례，량7례，가3례，우량솔93.5%。결론외고정지가결합유한내고정치료소퇴개방성골절，우기연조직좌상교중자，료효만의。
Objective To eXplore the clinical application of eXternal ifXator combined with limited internal ifXation in the treatment of open fracture of leg. Methods from 2002 January to 2012 December were treated with the method of severe open fractures of 31 cases of leg. Results the patients were followed up for 6-18 months, 31 cases of fractures in 26 patients hospitalized during the wound healing, within one year of fracture healing. 5 patients with stage two lfap transplantation in February, wound healing, all within a year and a half, fracture healing. No cases of osteomyelitis. According to the standard of evaluation of joint function assessment of Johner-wruhs, 22 cases were eXcellent, good in 7 cases, 3 cases, the eXcellent and good rate was 93.5%. Conclusion eXternal ifXation combined with limited internal ifXation in the treatment of open fracture of lower leg, especially soft tissue contusion heavier, curative effect satisfaction.
