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find Keyword "微型外固定支架" 2 results
  • 微型外固定支架在虎口外伤急诊治疗中的应用及疗效

    目的探讨微型外固定支架在急诊治疗虎口外伤中的应用及临床疗效。 方法2009年2月-2011年6月,收治虎口外伤患者34例。男21例,女13例;年龄18~65岁,平均31.4岁。致伤原因:机器冲压伤15例,重物压砸伤12例,切割伤5例,爆炸伤2例。受伤至入院时间20 min~6 h 30 min。按创伤程度及范围,26例为简单损伤,8例为复合性损伤。急诊清创后一期微型外固定支架开大虎口或联合虎口“Z”字成形治疗,复合性损伤者二期行皮瓣修复。 结果术后1例发生针道感染,经对症处理后愈合;其余患者切口均Ⅰ期愈合,复合性损伤患者皮瓣及供区植皮均顺利成活。31例获随访,随访时间5~14个月,平均7.5个月。末次随访时虎口开大角度为65~95°,平均80°。拇指指间关节纹尺侧点与示指掌指关节桡侧点距离为4.0~5.5 cm,平均4.8 cm;按顾玉东等的评价方法评价,获优19例,良10例,差2例,优良率达93.5%。 结论在虎口外伤急诊治疗中,采用微型外固定支架开大虎口,手术操作简便,损伤小,避免了虎口挛缩的发生。

    Release date:2016-08-31 04:22 Export PDF Favorites Scan
  • APPLICATION OF THE MINOR UNILATERAL MULTIFUNCTIONAL EXTERNAL FIXATOR IN HAND SURGER

    A series of 28 cases of fractures of the small tubular bones of the hand, including Bennetts fracture, were treated with the minor unilateral multifunctional external fixator. After manipulation, a hole was drilled on the proximal and distal parts of the fractured bone. Hand in functional position, the external fixator was set in place. Functional exercises were begun after the fixation. The patients were follwed up for two to six months. The average healing time was thirtyfive days. The average healing time for Bennett’s fractures was twentyeight days, and for the fractures of metacarpal bone was forty-two days. There were no deformity and complication of infection following external fixation.The functional recovery of the hands was satisfactory. The fixator had the following advantages: It was simple and had tight fixation; fractures with infection, was still indicated and could be adjusted according to the clinical purpose.

    Release date:2016-09-01 11:16 Export PDF Favorites Scan
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