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find Author "陆尧" 5 results
  • 钛网包裹自体松质骨打压植骨修复桡骨节段缺损一例

    目的介绍一种新的利用钛网包裹自体松质骨打压植骨修复桡骨节段缺损方法。 方法2011年10月,收治1例53岁机器击伤致左桡骨中下段开放粉碎性骨折合并5.4 cm桡骨缺损患者,待伤口愈合和局部皮肤条件改善后,二期采用切开复位钢板内固定和钛网包裹自体髂骨松质骨打压植骨修复桡骨节段骨缺损。 结果术后4个月见断端连续性骨痂连接、初步植骨融合表现,局部无压、叩痛,腕关节功能轻度受限,达临床愈合标准;术后6个月断端植骨融合更清晰,腕关节活动度接近正常,Green-O’Brien腕关节功能临床评分90分,为良;术后12个月末次随访,骨折愈合及腕关节功能临床评分无变化。 结论采用钛网包裹自体松质骨打压植骨修复桡骨节段缺损,不仅成骨快、愈合良好,且简便、安全。

    Release date:2016-08-31 04:06 Export PDF Favorites Scan
  • EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES

    ObjectiveTo investigate the effectiveness of sharp teeth hook plate by cutting for the treatment of olecranon fractures by comparison with Kirschner wire tension belt and locking plate. MethodsBetween January 2011 and April 2015, 32 cases of olecranon fractures were treated. Fracture was fixed with sharp teeth hook plate by cutting in 12 cases (trial group) and with Kirschner wire tension belt or locking plate in 20 cases (control group). There was no significant difference in gender, age, side and type of fracture, and time from injury to operation between 2 groups (P > 0.05). The healing time of fractures and complications were recorded. At 1 year after operation, the subjective function results were evaluated according to Disability of Arm, Shoulder, and Hand (DASH) score, and objective function results by Mayo Elbow Score (MEPS); visual analogue scale (VAS) was used for elbow joint pain, and range of motion of flexion and extension of elbow joint was measured. ResultsAll incisions healed by first intention, with no vascular and nerve injuries. All patients were followed up 12-36 months with an average of 18 months. All fractures healed, and there was no significant difference in the healing time between 2 groups (P > 0.05). Loosening of Kirschner wire occurred in 2 cases of control group, but no loosening of internal fixation was observed in trial group after operation. There was no significant difference in the incidence of complications between 2 groups (P > 0.05). The DASH, MEPS, VAS score, and range of motion of flexion in trial group were superior to those in control group, showing significant differences (P < 0.05) at 1 year after operation. There was no significant difference in range of motion of extension between 2 groups (P > 0.05). ConclusionSharp teeth hook plate for treatment of olecranon fractures overcomes the shortcomings that Kirschner wire tension is easy to slide and locking plate has a compression effect on triceps tendon, so it has good effectiveness.

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
  • 自制齿状钩钢板治疗后交叉韧带胫骨止点撕脱骨折

    目的总结自制齿状钩钢板治疗后交叉韧带(posterior cruciate ligament,PCL)胫骨止点撕脱骨折的疗效。 方法2012 年 11 月—2016 年 4 月,采用自制齿状钩钢板治疗 PCL 胫骨止点撕脱骨折 11 例。其中男 6 例,女 5 例;年龄 37~63 岁,平均 48.5 岁。致伤原因:交通事故伤 4 例,高处坠落伤 2 例,跌伤 5 例;均为新鲜骨折,受伤至手术时间 3~11 d,平均 5.2 d。骨折按 Meyer-McKeever 分型:Ⅱ型 4 例,Ⅲ型 7 例。术前膝关节屈曲活动度 40~90°,平均 65.9°。术前 Lysholm 评分 50~69 分,平均 58.5 分。 结果术后切口均Ⅰ期愈合。11 例患者均获随访,随访时间 6~20 个月,平均 11 个月。术后 3 个月 X 线片示患者骨折均愈合,骨折端无明显移位。术后 6 个月,患肢膝关节屈曲活动度达 115~130°,平均 121.8°;膝关节后抽屉试验均呈阴性,未见膝关节伸直功能障碍及腘窝部血管、神经损伤并发症;Lysholm 评分为 85~99 分,平均 92.8 分。 结论自制齿状钩钢板治疗 PCL 胫骨止点撕脱骨折可行,操作简便、固定效果可靠,术后疗效满意。

    Release date:2017-06-15 10:04 Export PDF Favorites Scan
  • AO “分水岭”万向锁定加压钢板在桡骨极远端骨折治疗中的应用

    目的 比较 AO“分水岭”万向锁定加压钢板内固定与外支架结合克氏针外固定治疗桡骨极远端骨折的临床效果。 方法 回顾分析 2016 年 1 月—11 月,采取 AO“分水岭”万向锁定加压钢板内固定治疗的 9 例桡骨极远端骨折患者临床资料(内固定组),并与采用外支架结合克氏针外固定治疗的 20 例患者(外固定组)进行疗效比较。两组患者年龄、性别、致伤原因、骨折分型、受伤至手术时间等一般资料比较差异均无统计学意义(P>0.05),具有可比性。 结果 两组患者均获随访,随访时间 5~15 个月,平均 10.7 个月。所有患者术后切口均Ⅰ期愈合,无感染、血管神经损伤、内固定物(内固定组)移位失败等并发症发生。两组骨折愈合时间比较差异无统计学意义(t=0.891,P=0.391);但内固定组住院费用显著低于外固定组,末次随访时腕关节 Mayo 评分及上肢功能调查量表(DASH)评分显著优于外固定组,比较差异均有统计学意义(P<0.05)。 结论 与外支架结合克氏针外固定相比,AO“分水岭”万向锁定加压钢板内固定治疗桡骨极远端骨折具有内固定牢靠、便于患者早期功能锻炼、术后腕关节功能恢复良好等优点。

    Release date:2017-10-10 03:58 Export PDF Favorites Scan
  • Effectiveness of arthroscopy-assisted combined fixation of Kirschner wire and external fixator for treating extreme distal radial fractures

    Objective To investigate the effectiveness of arthroscopy-assisted combined fixation of Kirschner wire and external fixator for treating extreme distal radial fractures. Methods Between January 2014 and May 2016, 21 patients who suffered from extreme distal radial fractures were treated by arthroscopy-assisted combined fixation of Kirschner wire and external fixator. There were 14 males and 7 females with an age of 32-57 years (mean, 42.3 years). The causes of injury included falling in 13 cases and traffic accident in 8 cases. The fracture type included 8 cases of type 23C1, 9 cases of type 23C2, and 4 cases of type 23C3 according to AO/OTA classification. The time from injury to operation was 3-7 days (mean, 4.4 days). The Mayo score and disability of arm, shoulder, and hand (DASH) score were used to assess the pain and function of the wrist joint. Results There was no needle red swelling, tendon irritation, or orther early complications. All the patients were followed up 10-35 months (mean, 18.3 months). The fracture healing time was 9-13 weeks (mean, 10.6 weeks). At last follow-up, the Mayo score was 87-94 (mean, 90.9); and 17 cases were excellent and 4 were good. The DASH score was 7-13 (mean, 10.6). Conclusion Arthroscopy-assisted combined fixation of Kirschner wire and external fixator for treating extreme distal radial fractures has the advantages of firm fixation, early functional exercise, less postoperative complications, and good functional recovery of wrist joint.

    Release date:2017-12-11 12:15 Export PDF Favorites Scan
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