摘要
目的:探讨四肢复杂性多发骨折切开复位内固定治疗的临床疗效。方法:我们收治四肢复杂性多发骨折病例32例,肱骨合并尺桡骨骨折10例,股骨合并胫腓骨骨折12例,肱骨合并股骨骨折5例,双侧胫腓骨骨折7例。本组病例均行切开复位,采用钛合金解剖型锁定接骨板,均采用一期植骨。结果:所有的患者均获得随访,平均12个月。术后X线片示骨折分别获解剖或接近解剖复位,无骨缺损。骨折愈合时间2.5～8个月,平均5.5个月。无不愈合及内固定松动、折断、弯曲等并发症。结论:关于四肢复杂性多发骨折,切开复位解剖型锁定接骨板内固定可提供良好的稳定性,固定方式的选择要综合考虑患者年龄、骨的质量、骨折的类型、骨骼解剖特点来决定,必要时需一期植骨。
Objective：To approach the clinical effects of open reduction and internal fixation for the treatment of complex multiple fractures in the extremities. Methods：Thirty--two cases of complex multiple fractures in the extremities were enrolled in the study, including 10 cases of humeral and ulna radial fractures, 12 femoral and tibiofibula fractures, 5 humeral and femoral fractures, and 7 bilateral tibiofibula fractures. All the patients were treated by open reduction and anatomical locking plate internal fixation combined one stage bone grafting. Results： All the patients were followed up for an average time of 12 months. The time of fracture union was 2.5 to 8 months, averaging 5.5 months. There were no complications as non--union, breakage or loosing of the internal fixation matters. Conclusion：The method of open reduction and internal fixation can provide satisfactory stability to complex multiple fractures in the extremities. In choosing the fixation mode, patients＇ ages, bone quality, type of fracture and anatomical characteristics of bones should be considered and one stage bone grafting should be performed when necessary.
出处
《中国中医骨伤科杂志》
CAS
2009年第5期33-34,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
解剖接骨板
内固定
植骨
骨折
Anatomical locking plate
Internal fixation
Bone graft
Fracture
