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find Author "申海波" 2 results
  • TREATMENT OF DISPLACED RADIAL HEAD FRACTURES WITH INTERNAL FIXATION

    Objective To analyse the procedure and effectiveness of internal fixation in treatment of displaced radial head fractures. Methods Between August 2005 and May 2009, 35 patients with displaced radial head fractures underwent open reduction and internal fixation with SmartNail® and/or AO mini-plates. There were 28 males and 7 females with an average age of 28.4 years (range, 17-48 years). The injury mechanism included traffic accident in 16 patients, falling in 13, and falling from height in 6. According to Mason classification, 21 fractures were rated as type II, 9 as type III, and 5 as type IV. All fracturs were closed fractures. Six cases complicated by radial neck fractures, 1 case by olecranon fracture, 3 by posterior dislocations of the elbow, 1 by posterior dislocation of the elbow and coronoid process fracture, and 3 by medial collateral ligament injuries. The time from injury to operation was 3 to 7 days. Results Except 1 patient whose incision healed by second intention, healing of incision by first intention was achieved in the other patients. All patients were followed up 12-25 months with an average of 17 months. The average fracture healing time was 10.2 weeks (range, 8-16 weeks). At last follow-up, the average flexion and extension of the elbow was 119° (range, 95-145°). The average arc of forearm rotation was 126° (range, 90-175°). According to elbow functional evaluation criteria by Broberg and Morrey, the results were excellent in 18 cases, good in 13, and fair in 4; the excellent and good rate was 88.6%. Conclusion In treatment of displaced radial head fractures, open reduction and internal fixation can be performed with SmartNail® and/or AO mini-plates based on different fracture types and the short-term effectiveness is satisfactory.

    Release date:2016-08-31 05:45 Export PDF Favorites Scan
  • 小腿远端蒂复合血管网皮瓣修复足踝部皮肤缺损

    目的 探讨小腿远端蒂复合血管网皮瓣的血供特点及临床疗效。 方法 2004年2月~2005年12月,应用包含深筋膜、皮神经及浅静脉的小腿远端蒂复合血管网皮瓣修复足踝部皮肤缺损伴肌腱或骨外露创面16例,其中急诊修复6例,择期修复10例。男11例,女5例;年龄16~48岁。皮瓣切取范围9 cm×5 cm~17 cm×14 cm。 结果 术后16例皮瓣均成活,切口Ⅰ期愈合。患者均获随访1~8个月。皮瓣血循环良好,耐磨无破溃,有浅痛觉及触觉,两点辨别觉40~96 mm,受区臃肿不明显。供区创面Ⅰ期愈合。 结论 小腿远端蒂复合血管网皮瓣操作安全,成活率高,是修复足踝部皮肤缺损的一种有效方法。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
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