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胫腓骨开放性骨折治疗分析 被引量:1
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作者 谢君恩 《中国民族民间医药》 2011年第15期89-89,共1页
目的:探讨胫腓骨开放性骨折手术治疗方法。方法:按照手术方法不同将入组90例患者分为带锁髓内钉内固定组和加压钢板组各45例,两组均使用抗生素预防感染,在硬膜外或腰麻下行急诊手术。结果:带锁髓内钉内固定组优良率88.89%,加压钢板组优... 目的:探讨胫腓骨开放性骨折手术治疗方法。方法:按照手术方法不同将入组90例患者分为带锁髓内钉内固定组和加压钢板组各45例,两组均使用抗生素预防感染,在硬膜外或腰麻下行急诊手术。结果:带锁髓内钉内固定组优良率88.89%,加压钢板组优良率71.11%,两组比较差异有统计学意义(P<0.05)。内固定组术后骨折愈合时间(101.6±12.5)d,优于加压钢板组(120.2±14.4)d,差异有统计学意义(P<0.05)。结论:交锁髓内钉内固定治疗Gustilo分型为Ⅲa型以下的胫腓骨开放骨折的疗效优于加压钢板治疗。 展开更多
关键词 胫腓骨/骨折 开放性 固定/内 外固定
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Influence of distal tibiofibular synostosis on ankle function 被引量:5
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作者 侯振海 周继红 +4 位作者 叶虹 施建国 郑隆宝 姚军 倪志明 《Chinese Journal of Traumatology》 CAS 2009年第2期104-106,共3页
Objective: To study the influence of distal tibiofibular synostosis on ankle function. Methods: Prom October 1998 to October 2004, a total of 281 consecutive patients underwent operations because of ankle fractures ... Objective: To study the influence of distal tibiofibular synostosis on ankle function. Methods: Prom October 1998 to October 2004, a total of 281 consecutive patients underwent operations because of ankle fractures or distal fractures of the tibia and fibula. Distal tibiofibular synostosis occurred after operation in 8 patients. The duration of follow-up averaged 20.6 months (14-44 months). The ankle function was assessed on the basis of functional rating system described by Mazur. Results: According to Mazur's ankle evaluation system, 4 patients achieved an excellent result, 2 a good result and 2 a fair result. The dorsiflexion of the synostosis ankle reduced by 8.26 degrees as compared with that of the contralateral ankle, and there was little influence on the plantar flexion. All the patients had a normal gait. Conclusion: The distal tibiofibular synostosis after the operation of ankle fractures or distal fractures of the tibia and fibula usually gives rise to few symptoms and needs no specific treatment. 展开更多
关键词 SYNOSTOSIS ANKLE Fractures bone
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