仿AO技术治疗四肢骨折

AO Simulated Technique for The Treatment ofLimb Fractures

作者报道了２８１例四肢骨折患者接受仿ＡＯ技术的局部内固定的经验，男２２９例，女５２例，平均年龄３３．３２岁。新鲜骨折１８２例，陈旧骨折９９例。总计３５２处骨折，其中上肢骨折８０处，下肢骨折２５６处，脊柱、骨盆骨折１６处。５８例开放骨折合并颅脑、胸腹，脊髓损伤。１４例合并休克，３例合并脂肪栓塞。所有新鲜骨折均在伤后３周内应用仿ＡＯ内固定术治疗。单纯拉力螺钉内固定踝部骨折３例，股骨干２例，腔骨干与平台，肱骨干与内上髁，髋臼骨折各１例。加压钢板治疗股骨干骨折８３例，胫骨干骨折４３例，胫骨平台骨折７例等。克氏针张力带技术治疗髌骨骨折４７例。等所有病例均获得骨性愈合。２４１例得到１～６年随访，功能优良率９５．４４％。

AbstractTwo hundred and eighty-one patients sufferingfrom fractures of the limbs treated with AO-simulated techmque using local made implants and instrumentswere reported.The patients consisted of 229 males and52 females with an average age of 33. 32 years. 182 cas-es were fresh fractures and 99 old fractures. Totallythere were 35 2 sites of fractures,including the upperlimb in 80 sites, lower limb 256 sites,spine and pelvis16 sites,58 cases of Open fractures were asseeiated withthoracic,abdominal and spinal cord injuries. 14 caseshad shock and 3 cases had fat embolism,internal AOsimulated fixation of the fractures were accompilshed forall the fresh fractures within 3 weeks after the injury.Simple lag screw fixation were used in 3 cases of anklefractures,2 cases of femoral shaft,and rsepectively onecase of the tibial shaft and plateau,humeral shaft andthe madial and lateral condyle,and the acetabulum.Compression plates were used for the fomoral shaft frac-tures in 83 cases,tibial shaft fractures in 43 cases.tibialplateau in 7 cases,etc. Tension band technique withstabilizing k wires were used in 47 cases of fracture ofpatella etc. Bone union was achieved in all cases. Thefollow-up period of the 241 cases extended for 1 ～6years and the rate of satisfactory functional results wereseen in 95.44%dthe cases.