骨外固定架治疗下肢骨折不愈合4例临床分析
中图分类号：R683.42文献标识码： A文章编号： 1672-3783(2008)-1-0001-02【摘 要】目的 了解骨外固定架治疗下肢骨折不愈合的情况。方法 通过对4例不愈患者进行分析、治疗。股骨病例采用的手术方式:进行原有内固定取出、对不愈合断端修整、加压,对股骨行转子下2CM截骨并作延长用,用单臂可延长外固定支架,三组固定共七颗钉,近端二组钉,远端一组钉,远端钉呈品字排列。胫骨病例手术方式:胫骨行胫骨结下3CM处结骨,行半环槽式外固定支架。对骨髓炎病例在术中进行严格的清创,术后进行伤口灌洗3天。结果 外固定支架治疗骨折不愈是一种比较实用和理想的固定器材。
【关键词】外固定架 下肢骨折 不愈合
Clinical Analysis on the Outcome of External Skeletal Fixation
in Treating Four Patients with Fracture of Lower Limb Disunion
ZHU Zhi-zhong
Chongzhou Second People's Hospital,Sichuan 611230，China
【Abstract】Objective To understand the situation of fracture of lower limb disunion treated with external skeletal fixation.Method To anylyse 4 patients with fracture of lower limb disunion. Femur cases adopt modus operandi , the methods are as follows: take out of original internal fixation, trim the broken ends of fracturedbone and compress the fragments of the fracture ,subtrochanteric osteotomy and bone lengthening were applied in subtrochanteric fractures of the femur.Using single arm can prolonged external fixed stent.Three groups have seven nails , the proximal end include two groups and the distal end have one group .The methods that shin bone cases adopt are as follows:The stability of half-ring sulcated external fixator was applied in cases with shin bone. Debridement should be do for patients with osteomyelitis during operation .Irrigation after operation was performed.Conclusion The external fixation is a kind of comparative practical and ideal equipment. ......
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