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重建钢板与嵌入式植骨治疗锁骨骨折骨不愈合(附70例报告) 被引量:9
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作者 孙占胜 陈振强 张云峰 《中国骨与关节损伤杂志》 2005年第12期830-831,共2页
关键词 重建钢板 折骨不愈合 治疗 嵌入式 术后不愈合 固定术治疗 缺损
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股骨干骨折骨不愈合21例原因分析及对策 被引量:2
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作者 张永兴 《山东医药》 CAS 北大核心 2007年第17期81-81,共1页
关键词 折骨不愈合 原因分 手术内固定 愈合
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股骨干骨折骨不愈合的原因分析 被引量:2
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作者 张浩 《新疆医学》 2009年第2期85-86,共2页
关键词 折骨不愈合 原因分 迟缓愈合 手术后 病例
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骨盆重建钢板治疗锁骨骨折骨不愈合 被引量:2
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作者 陈可新 张春建 李光明 《中国骨与关节损伤杂志》 2005年第12期831-832,共2页
关键词 重建钢板治疗 折骨不愈合 骨不 发生率
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骨质疏松性椎体骨折骨不愈合的研究进展 被引量:4
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作者 王根林 杨惠林 《中华创伤骨科杂志》 CAS CSCD 2009年第6期581-583,共3页
骨质疏松性椎体骨折(osteoporotic vertebral fractures,OVFs)在临床上卜分常见,随着人口平的老龄化,这一问题将更加严重。随着椎体成形术和椎体后凸成形术的开展,人们发现骨质疏松性椎体骨折同其他骨折一样,也存在骨不愈合现象... 骨质疏松性椎体骨折(osteoporotic vertebral fractures,OVFs)在临床上卜分常见,随着人口平的老龄化,这一问题将更加严重。随着椎体成形术和椎体后凸成形术的开展,人们发现骨质疏松性椎体骨折同其他骨折一样,也存在骨不愈合现象。这种OVFs骨不愈合的疼痛及影像学的特点均不同于常规OVFs;与急性OVFs不同,随着时间延长骨不愈合不能自身痊愈,成为这类患者慢性背痛和残疾的根源。OVFs骨不愈合保守治疗常常无效,需要手术干预,主要是椎体成形术15-71和椎体后凸成形术。本文就OVFs骨不愈合的病因、临床特点及微创手术治疗做一综述。 展开更多
关键词 质疏松性椎体 折骨不愈合 椎体后凸成形术 椎体成形术 微创手术治疗 临床特点 时间延长 慢性背痛
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创伤性腰椎骨折骨不愈合一例
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作者 王根林 杨惠林 +2 位作者 杨炎 史金辉 唐天驷 《中华外科杂志》 CAS CSCD 北大核心 2008年第18期1439-1439,共1页
患者 男性,36岁。从4m高处坠落致腰背部疼痛2h入院。体格检查:神智清楚,腰椎叩击痛阳性,双下肢肌力正常,双膝反射存在。病理反射阴性,双下肢及会阴部感觉正常。腰椎X线片及CT扫描示L2~3骨折(图1),MRIT加权像可见L2、L3后部韧... 患者 男性,36岁。从4m高处坠落致腰背部疼痛2h入院。体格检查:神智清楚,腰椎叩击痛阳性,双下肢肌力正常,双膝反射存在。病理反射阴性,双下肢及会阴部感觉正常。腰椎X线片及CT扫描示L2~3骨折(图1),MRIT加权像可见L2、L3后部韧带损伤、出血,呈高信号改变。入院诊断:L2-3骨折(屈曲-分离型损伤)。因患者拒绝手术,故予以卧床等保守治疗。2个月后, 展开更多
关键词 腰椎 折骨不愈合 创伤性 韧带损伤 入院诊断 腰背部疼痛 CT扫描示 腰椎X线片
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带锁髓内钉治疗肱骨干骨折骨不愈合 被引量:1
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作者 司志军 王树海 +1 位作者 石蛟 付国权 《按摩与康复医学》 2012年第29期200-200,共1页
肱骨干骨折手术和非手术治疗后均会有骨折不愈合发生,常因长期的内或外固定导致局部骨质疏松,软组织及骨质条件差,使再次手术时使用加压钢板固定变得很困难.我们应用带锁髓内钉结合自体髂骨移植治疗19例肱骨干骨折不愈合,临床结果满意,... 肱骨干骨折手术和非手术治疗后均会有骨折不愈合发生,常因长期的内或外固定导致局部骨质疏松,软组织及骨质条件差,使再次手术时使用加压钢板固定变得很困难.我们应用带锁髓内钉结合自体髂骨移植治疗19例肱骨干骨折不愈合,临床结果满意,报告如下. 展开更多
关键词 不愈合 带锁髓内钉 非手术治疗 折骨不愈合 加压钢板固定 质疏松 手术 移植治疗
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闭合复位空心钉固定治疗股骨颈骨折 被引量:5
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作者 王健 霍华春 《河南外科学杂志》 2005年第6期38-39,共2页
目的:探讨闭合性复位小切口空心钉治疗股骨颈骨折的疗效。方法:特制骨科手术台与牵引复位台,术中牵引复位,在C臂透视下,大转子下小切口,先用导针定位,最后用钝钛空心钉内固定。结果:随访1年~5年,骨折愈合49例,骨不愈合7例,愈合率87.5%... 目的:探讨闭合性复位小切口空心钉治疗股骨颈骨折的疗效。方法:特制骨科手术台与牵引复位台,术中牵引复位,在C臂透视下,大转子下小切口,先用导针定位,最后用钝钛空心钉内固定。结果:随访1年~5年,骨折愈合49例,骨不愈合7例,愈合率87.5%,股骨头缺血坏死11例,坏死发生率19.6%。结论:该方法有效地降低了股骨颈骨折骨不愈合及头坏死的发生率,特别适用于老年人骨折,是治疗股骨颈骨折首选方法。 展开更多
关键词 空心钉 内固定 闭合复位 小切口空心钉 固定治疗 头缺血坏死 折骨不愈合 空心钉内固定 牵引复位
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舟骨陈旧性骨折致拇长屈肌腱自发性断裂一例 被引量:7
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作者 李大为 姜德欣 《中华手外科杂志》 CSCD 北大核心 2006年第6期323-323,共1页
患者 女性,66岁。因无明显诱因出现左拇指不能活动1周入院。既往史中,30多年前左腕部有舟骨骨折史,当时保守治疗后治愈,恢复正常的功能。现腕关节活动良好,无疼痛酸胀等不适。无风湿、类风湿、结核等病史。入院检查:左拇指指间关... 患者 女性,66岁。因无明显诱因出现左拇指不能活动1周入院。既往史中,30多年前左腕部有舟骨骨折史,当时保守治疗后治愈,恢复正常的功能。现腕关节活动良好,无疼痛酸胀等不适。无风湿、类风湿、结核等病史。入院检查:左拇指指间关节呈过伸位,主动屈曲不能,被动活动良好,腕上方约4cm处压痛明显;腕背侧舟骨处轻微压痛,腕关节背伸、掌屈、旋转活动良好。x线片示左舟骨腰部陈旧性骨折,骨折线清晰,近端桡侧缘轻度增生。术前诊断为:左拇长屈肌腱自发性断裂、左腕舟骨陈旧性骨折骨不愈合。 展开更多
关键词 陈旧性 自发性断裂 拇长屈肌腱 入院检查 折骨不愈合 左腕部 关节活动 指间关节
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上肢
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《中国医学文摘(外科学)》 2006年第3期228-232,共5页
锁骨远端骨折和肩锁关节脱位的手术治疗;重建钢板与嵌入式植骨治疗锁骨骨折骨不愈合(附70例报告);骨盆重建钢板治疗锁骨骨折骨不愈合;锁骨骨折重建钢板内固定失误分析;远端分叉式交锁髓内钉治疗肱骨干骨折。
关键词 远端 重建钢板治疗 重建钢板内固定 交锁髓内钉治疗 折骨不愈合 上肢 肩锁关节脱位 手术治疗 治疗
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Nonunion of coronal shear fracture of femoral condyle 被引量:11
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作者 Ajay Pal Singh Ish Kumar Dhammi +3 位作者 Raju Vaishya Anil Kumar Jain Arun Pal Singh Prashant Modi 《Chinese Journal of Traumatology》 CAS 2011年第3期143-146,共4页
Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of thr... Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of three years. Three patients were treated conservatively and three patients had fixation failures. Delay of presentation was 2 months to one year. Treatment protocol consisted of open reduction, excision of pseudoarthrosis, bone grafting and internal fixation along with knee arthrolysis. Union wasachieved in all patients at mean 16 weeks. The treatment of nonunion of Hoffa fractures requires careful preoperative planning and meticulous surgical technique. The literature regarding the controversies in fracture management and surgical technique are reviewed. 展开更多
关键词 Femoral fracture Fracture ftxation INTERNAL Retrospective studies
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Twenty-seven-year nonunion of a Hoffa fracture in a 46-year-old patient 被引量:4
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作者 Yirui Jiang Zhenyu Wang Debao Zhang Guishan Gu 《Chinese Journal of Traumatology》 CAS CSCD 2015年第1期54-58,共5页
A Hoffa fracture is an uncommon clinical entity typically seen in adults after high-energy trauma. Nonunion ofa Hoffa fracture appears to be even more uncommon. To our knowledge, only three cases of nonunion ofa Hoffa... A Hoffa fracture is an uncommon clinical entity typically seen in adults after high-energy trauma. Nonunion ofa Hoffa fracture appears to be even more uncommon. To our knowledge, only three cases of nonunion ofa Hoffa fracture have been documented in the literature to date, including two children and one adult. This article presents a case of an adult who had nonunion of a Hoffa fracture for 27 years and was treated by open reduction and internal fixation, and the varus deformity corrected with xenogenous bone graft. An excellent result has been achieved to date. This unusual case reminds us that we cannot neglect the possibility of nonunion of a cancellous hone fracture, especially the Hoffa fractures of the medial femoral condyle if they are treated nonoperatively. It also demonstrates that internal fixation with bone graft is effective, even for the 27-year Hoffa fracture. 展开更多
关键词 Hoffa fracture Fracture fixation internal Bone graft
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Internal fixation and bone grafting for intraarticular nonunion of tibial plateau: a report of four cases 被引量:4
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作者 Ramesh K Sen Ashwani Soni Uttam Chand Saini Daljit Singh 《Chinese Journal of Traumatology》 CAS 2011年第6期371-375,共5页
Intraarticular nonunion of tibial plateau is rare. In the literature, only 9 patients were found to be treated for intraarticular tibial plateau nonunion and they got varying results. Internal fixation along with bone... Intraarticular nonunion of tibial plateau is rare. In the literature, only 9 patients were found to be treated for intraarticular tibial plateau nonunion and they got varying results. Internal fixation along with bone grafting was done as a standard treatment in all cases. We treated 4 different profile cases of intraarticular tibial plateau nonunion in our institution by 4 different methods. We treated these cases with plaster of paris cast, internal fixation along with bone graft, arthrodesis with K-nail and total knee replacement. Case 1 was treated with plaster of paris (POP) cast as the patient refused surgery. The fracture was united and the patient was fully satisfied with full range of motion despite valgus malalignment. Case 2 was managed with open reduction internal fixation along with bone grafting. Thepatient had a good union and got full range of motion at the knee joint. Case 3 was treated with total knee arthroplasty due to her old age and got satisfactory result. Case 4 was an infected nonunion. Arthrodesis was done and the patient could walk with full weight bearing independently. We conclude that internal fixation along with bone grafting may not be suitable in all cases of intraarticular nonunion of tibial plateau. Causes of nonunion, present condition and range of motion of the knee joint, as well as the age of patient should be all considered and the treatment should be individualised according to each patient's situation. 展开更多
关键词 Intra-articular fractures ARTHRODESIS Fracture fixation internal
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Unstable mallet fractures: a comparison between three different techniques in a multicenter study 被引量:3
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作者 Stefano Lucchina Alejandro Badia +1 位作者 Vlad Dornean Cesare Fusetti 《Chinese Journal of Traumatology》 CAS 2010年第4期195-200,共6页
Objective: Management of mallet fractures is still a matter of discussion throughout the literature. For some authors, mallet fractures involving more than 1/3 of the articular surface and palmar subluxation of the d... Objective: Management of mallet fractures is still a matter of discussion throughout the literature. For some authors, mallet fractures involving more than 1/3 of the articular surface and palmar subluxation of the distal phalanx require surgical treatment. In this study we retrospectively compared three different techniques for mallet fractures: Kirschner wire fixation with extension block pinning (EBP) of the distal interphalangeal joint, Kirschner wires used as joysticks (KWJ) and interfragmentary miniscrews for open reduction and internal fixation (ORIF). Methods: Fifty-eight mallet fractures with palmar subluxation in 58 patients were treated with the aforementioned surgical techniques. Twenty mallet fractures in 20 patients 18 to 70 years old (average 42 years) were operated upon by EBP, 16 patients 22 to 56 years old (average 56 years) were operated upon using KWJ and 22 patients 22 to 54 years old (average 36 years) received OR/F. Follow-up time was 6 to 58 months (average 21 months). The following intraoperative parameters were considered: intraoperative time, number of Kirschner wires/screws and technical problems. Postoperative parameters included work absence and complications. The radiological evaluation was based on A-P and lateral views preoperatively and interviews at follow-up time. Bone union was defined by radiological evidence of bone trabeculae crossing the fracture site on at least one view. Clinical evaluation involved range of motion (ROM) test with a goniometer. Based on these measurements, a functional Crawford score was established. Results: All fractures healed. In the KWJ group, intraoperative time was shorter and total ROM was wider (72° vs 58° and 54 °); in the ORIF group, return to work was faster (2.7 weeks vs 7.2 weeks and 6 weeks) but a little higher complication rate due to screw positioning has been found. Functional results as to total ROM, distal interphalangeal lag extension and Crawford classification were similar. Conclusions: We demonstrate the advantages of the use of the three techniques and bone consolidation in all cases with no signs ofosteoarthritis. Screw fixation is more technically demanding (longer intraoperative time and more complications) but allows earlier mobilization and faster returning to work. EBP and KWJ techniques are faster to perform with no complications but require a careful management of the pin tracts. There is no statistically significant difference as to functional results. 展开更多
关键词 Fractures bone Finger injuries Fracture focation internal Internal fixators Bone wires
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