摘要
目的讨论四肢多段严重粉碎性骨折治疗方法。方法选择我院四肢多段严重粉碎性骨折患者82例计134处骨折。根据患者情况,选择不同治疗方法,并随访了解患者愈合情况。结果使用钢板内固定66处,锁髓钉内固定48处,外固定支架17处,人工踝关节治疗3处。患者骨折愈合时间从2～12个月不等。共有112处愈合,畸形愈合13例,骨不连9例。ROM邻近关节功能评定优、良、差分别有59、57和18处。结论四肢多段严重粉碎性骨折目前并无统一的治疗方法。有必要根据患者具体情况,选择合适的治疗数段。
Objective To discuss the treatment of limbs multi-segment comminuted fracture. Methods Select 82 cases with 134 fractures. Selecting different treatment methods according to the situation of patients,. Results 66 patients use internal fixation, 48 patients and 17 patients use intramedullary nail internal fixation and external fixator, other 3 patients use ankle joint treatment. The healing time is from 2-12 months. There are 112 healing, 13 cases of malunion. Conclusion There is no unified treatment.method for the limbs multi-segment comminuted fractures. It is necessary to select an appropriate treatment according to the specific circumstances of patients.
出处
《中国医药指南》
2013年第4期15-16,共2页
Guide of China Medicine
关键词
骨折
严重粉碎性骨折
四肢骨折
Fracture
Severely comminuted fractures
Limbs fracture
