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急诊解剖型钢板治疗胫骨远端骨折 被引量:18

Emergency treatment of distal tibial shaft fractures with anatomical plate
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摘要 目的 探讨急诊解剖型钢板治疗胫骨远端骨折的临床效果.方法 82 例胫骨远端骨折患者急诊采用解剖型钢板手术治疗,按AO/ ASIF 分型:A1型25 例,A2型27 例,A3型21 例,B1型9 例.结果 82 例获得6~20个月的随访,骨折全部愈合,无钢板螺钉断裂、退出等,表浅感染3例.踝关节功能评价参照Mazur标准,优良率93.9%. 结论 解剖型钢板手术简单,固定牢固,是急诊治疗胫骨下段骨折的一种较好内固定方法. Objective To investigate the clinical effect of anatomical bone plate in the treatment of distal tibial fractures. Methods 82 cases of distal tibial fractures ( according to AO/ASIF classification, type A1 25 cases, type A2 27 cases, type A3 21 cases, type B1 9 cases) were treated with anatomical plate. Results All cases were followed up for 6 ~ 20 months. All the patients recovered with good healing of the fracture. There were 3 cases of superficial infection. No screw and plate loosening or breakage was found. According to Mazur ankle joint function scoring, the excellent and good rate was 93.9%. Conclusions The application of anatomical plate in the treatment of distal tibial fractures has advantages of convenient operation and rigid fixation. It is a better internal fixation in the emergent treatment for distal tibial shaft fractures.
出处 《临床骨科杂志》 2006年第3期257-258,共2页 Journal of Clinical Orthopaedics
关键词 胫骨骨折 解剖型钢板 骨折内固定术 tibial fractures anatomical bone plate fracture fixation, internal
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