The Objective is to evaluate Elastic Stable Intrame-dullary Nailing (ESIN) fixation through the treat-ment of children’s shaft fracture of tibia and fibula. From January 2007 to January 2009, 16 cases of children’s ...The Objective is to evaluate Elastic Stable Intrame-dullary Nailing (ESIN) fixation through the treat-ment of children’s shaft fracture of tibia and fibula. From January 2007 to January 2009, 16 cases of children’s shaft fracture of tibia and fibula had been treated by ESIN. 15 cases were followed up after the surgery and the follow-up time was 4 - 12 months (4.5 in average). The results turn out that all the patients’ fractures have got healed by Phase I and the healing time is 10 weeks in average. The near joints’ activity and affected extremity completely return to normal. This group of cases doesn’t show any sign of infection, bone nonunion, malunion or epiphysis injury. And six patients have had their intramedullary nails taken out after six months. It can be concluded that ESIN is good for treating children’s long diaphysis fracture which has difficulty in closed diaplasis and is suitable for children aged 6 - 13. ESIN has the advantages of small incision, slight injury of soft tissue, short sur-gery time, rapid recovery and few complications.展开更多
Although open leg fractures are very common in orthopedics and traumatology, bilateral open leg fractures are extremely rare and are usually associated with an increased risk of complications. We report a case of a si...Although open leg fractures are very common in orthopedics and traumatology, bilateral open leg fractures are extremely rare and are usually associated with an increased risk of complications. We report a case of a simultaneous, asymmetrical, comminuted and bilateral open fracture of the tibia and fibula by a firearm that occurred during an escape attempt in a 29-year-old prisoner. The pre-operative radiological assessment found an open fracture of both legs of the ballistic type;multiple traumatic gunshot wounds with a narrow entry hole and a wide exit hole. Early surgical intervention of intravenous antibiotics, tetanus prophylaxis and open fracture irrigation and debridement was performed within the 6 hour rule. The treatment consisted of a posterior splint followed by trimming andosteosynthesis using a FESSA external fixator from the military health service. A second operation was not needed. Evolution was favorable with ambulation starting from the 45th day. Simultaneous and bilateral tibia-fibula fractures by a firearm are exceptional, therefore, the treatment was surgical with the pre-operative and post-operative protocols well managed.展开更多
Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and...Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and 4 females),including 14 adults(aged 22-73 years,mean=40 years)and 1 child(aged 10 years),with fracture of both tibia and fibula were studied retrospectively in this study.A small incision was made at the fracture site of tibia.Then reposition was made under direct vision,and internal fixation was employed with steel plates inserting through the small incision. Results:Anatomical reduction was obtained.No complication was found.Union occurred on time in 14 patients.One case healed after a second operation. Conclusions:Micro-invasive percutaneous plate internal fixation is beneficial to the healing of bone and soft tissues.Without X-ray examination,it is also easy to reach anatomical reduction and make tibial internal fixation with both plates with micro-invasive percutaneous plate internal fixation.展开更多
目的探究自制三联式乙醇冰袋联合中药外敷对胫腓骨骨折患者早期肿胀的临床效果。方法进行回顾性研究,将60例胫腓骨骨折患者分为对照组及观察组,各30例。对照组运用传统冰敷,观察组运用自制三联式乙醇冰袋冰敷联合中药外敷。观察两组患...目的探究自制三联式乙醇冰袋联合中药外敷对胫腓骨骨折患者早期肿胀的临床效果。方法进行回顾性研究,将60例胫腓骨骨折患者分为对照组及观察组,各30例。对照组运用传统冰敷,观察组运用自制三联式乙醇冰袋冰敷联合中药外敷。观察两组患者伤后24 h、48 h的骨折部位肿胀评分,疼痛程度数字评定量表(NRS)评分以及住院时间、治疗满意度、护理满意度,以评价临床疗效。结果观察组住院时间少于对照组(P<0.05)。与对照组相比,观察组伤后48 h NRS评分、骨折部位肿胀评分均显著下降(P<0.05)。观察组治疗满意度90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05),治疗总有效率90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05)。结论自制三联式乙醇冰袋联合中药外敷用于胫腓骨骨折患者可早期消除患肢肿胀,减轻患者疼痛,缩短住院时间,临床疗效显著,值得推广应用。展开更多
文摘The Objective is to evaluate Elastic Stable Intrame-dullary Nailing (ESIN) fixation through the treat-ment of children’s shaft fracture of tibia and fibula. From January 2007 to January 2009, 16 cases of children’s shaft fracture of tibia and fibula had been treated by ESIN. 15 cases were followed up after the surgery and the follow-up time was 4 - 12 months (4.5 in average). The results turn out that all the patients’ fractures have got healed by Phase I and the healing time is 10 weeks in average. The near joints’ activity and affected extremity completely return to normal. This group of cases doesn’t show any sign of infection, bone nonunion, malunion or epiphysis injury. And six patients have had their intramedullary nails taken out after six months. It can be concluded that ESIN is good for treating children’s long diaphysis fracture which has difficulty in closed diaplasis and is suitable for children aged 6 - 13. ESIN has the advantages of small incision, slight injury of soft tissue, short sur-gery time, rapid recovery and few complications.
文摘Although open leg fractures are very common in orthopedics and traumatology, bilateral open leg fractures are extremely rare and are usually associated with an increased risk of complications. We report a case of a simultaneous, asymmetrical, comminuted and bilateral open fracture of the tibia and fibula by a firearm that occurred during an escape attempt in a 29-year-old prisoner. The pre-operative radiological assessment found an open fracture of both legs of the ballistic type;multiple traumatic gunshot wounds with a narrow entry hole and a wide exit hole. Early surgical intervention of intravenous antibiotics, tetanus prophylaxis and open fracture irrigation and debridement was performed within the 6 hour rule. The treatment consisted of a posterior splint followed by trimming andosteosynthesis using a FESSA external fixator from the military health service. A second operation was not needed. Evolution was favorable with ambulation starting from the 45th day. Simultaneous and bilateral tibia-fibula fractures by a firearm are exceptional, therefore, the treatment was surgical with the pre-operative and post-operative protocols well managed.
文摘Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and 4 females),including 14 adults(aged 22-73 years,mean=40 years)and 1 child(aged 10 years),with fracture of both tibia and fibula were studied retrospectively in this study.A small incision was made at the fracture site of tibia.Then reposition was made under direct vision,and internal fixation was employed with steel plates inserting through the small incision. Results:Anatomical reduction was obtained.No complication was found.Union occurred on time in 14 patients.One case healed after a second operation. Conclusions:Micro-invasive percutaneous plate internal fixation is beneficial to the healing of bone and soft tissues.Without X-ray examination,it is also easy to reach anatomical reduction and make tibial internal fixation with both plates with micro-invasive percutaneous plate internal fixation.
文摘目的探究自制三联式乙醇冰袋联合中药外敷对胫腓骨骨折患者早期肿胀的临床效果。方法进行回顾性研究,将60例胫腓骨骨折患者分为对照组及观察组,各30例。对照组运用传统冰敷,观察组运用自制三联式乙醇冰袋冰敷联合中药外敷。观察两组患者伤后24 h、48 h的骨折部位肿胀评分,疼痛程度数字评定量表(NRS)评分以及住院时间、治疗满意度、护理满意度,以评价临床疗效。结果观察组住院时间少于对照组(P<0.05)。与对照组相比,观察组伤后48 h NRS评分、骨折部位肿胀评分均显著下降(P<0.05)。观察组治疗满意度90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05),治疗总有效率90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05)。结论自制三联式乙醇冰袋联合中药外敷用于胫腓骨骨折患者可早期消除患肢肿胀,减轻患者疼痛,缩短住院时间,临床疗效显著,值得推广应用。
