目的:探讨冰敷预防高能量胫骨平台骨折后骨筋膜室综合征(OCS)的效果。方法:符合入组标准的151例患者随机分为冰敷组、空白对照组和甘露醇对照组,统计OCS和张力性水疱发生例数及1周内出现皮肤褶皱患者例数,及其构成比,用SA S 6.0统计学...目的:探讨冰敷预防高能量胫骨平台骨折后骨筋膜室综合征(OCS)的效果。方法:符合入组标准的151例患者随机分为冰敷组、空白对照组和甘露醇对照组,统计OCS和张力性水疱发生例数及1周内出现皮肤褶皱患者例数,及其构成比,用SA S 6.0统计学软件进行χ2检验。结果:冰敷组在肿胀程度和OCS发病率方面均优于空白对照组,与甘露醇组差异无统计学意义。结论:早期局部冰敷可减轻软组织肿胀,预防OCS。展开更多
Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical pract...Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus frac- tures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.展开更多
文摘目的:探讨冰敷预防高能量胫骨平台骨折后骨筋膜室综合征(OCS)的效果。方法:符合入组标准的151例患者随机分为冰敷组、空白对照组和甘露醇对照组,统计OCS和张力性水疱发生例数及1周内出现皮肤褶皱患者例数,及其构成比,用SA S 6.0统计学软件进行χ2检验。结果:冰敷组在肿胀程度和OCS发病率方面均优于空白对照组,与甘露醇组差异无统计学意义。结论:早期局部冰敷可减轻软组织肿胀,预防OCS。
文摘Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus frac- tures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.
