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Ⅰ期处理贴骨瘢痕骨缺损及肢体短缩的新方法

PRIMARY TREATMENT FOR CICATRIX, BONY DEFECT, AND SHORTENING OF THE LIMB
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摘要 报道6例有贴骨瘢痕的胫骨陈旧骨折,合并骨缺损、肢体短缩畸形,采用多平面半环式外固定支架,在干骺端切骨延长,骨折端加压固定。术后早期活动。6例均在4~7个月内骨性愈合,不需手术处理瘢痕,亦不需植骨。术后关节功能均有明显改善。肢体短缩也获得矫正。 Six cases of old fracture of the tibia with large sear, bony defect, and shortening deformity of the limb were treated by elongation osteotomy at epiphysis and compression fixation of the fracture with external semilunar fixation frame. The bony defect ranged from 3cm to 6cm. Bony healing developed in all patients 4-7 months after operation. Early postoperative movement was suggested. The results revealed that there was an obvious improvement of the joint function and the shortened legs were corrected. The advantages of this method are that there is no need of bone grafting and operative treatment of the sear prior to treatment of the bone.
出处 《修复重建外科杂志》 CSCD 1991年第2期87-88,共2页 Chinese Journal of Reparative and Reconstructive Surgery
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