摘要
1978年来,作者等根据加压内固定的原理,在AO股骨髁上接骨板的基础上设计了系列L形加压钢板,用于治疗长管状骨骨端骨折,临床应用53例(共54个骨折),包括股骨上端14例、股骨髁上20例、胫骨上端2例、胫骨下端5例、肱骨上端2例、肱骨下端1例、桡骨下端9例(其中1例兼有尺骨下端骨折)。术后达一年以上的48个骨折获得随访,平均随访时间25个月。随访结果46个骨折获得正常愈合,2例延迟愈合。所有骨端骨折内固定应用的系列L形加压钢板未发生折弯、断裂等现象。后期功能恢复情况,以新鲜股骨髁上骨折为例与Schatzker等报告用AO髁上接骨板治疗的同类病例相比,本组疗效较其为好。
Since 1978, according to the principles of the compression for internal fixation of fractures based upon AO plates, the authors designed a series of L-shaped compressive plates for the treatment of the fractures of extremities of long bone. There were 53 cases (54 fractures) which were treated with the L-shaped plates, including 14 femoral upper extremity fractures, 20 femoral supracondylar fractures, 2 tibial upper extremity fractures, 5 tibial lower extremity fractures, 2 humeral upper extremity fractures,1 humeral lower extremity fracture, 1 ulnar lower extremity fracture and 9 radial lower extremity fractures. 48 cases were followed up for more than one year, averaging 25 months. There were uneventful healing in 46, delayed union in 2. All L-shaped plates were followed up for postoperatively with the results neither curved nor broken. The late functional results, i.e. the femoral supracondylar fractures, were better than that which were reported by Schatzker with the treatment of AO plate.
出处
《创伤杂志》
CSCD
北大核心
1990年第2期77-80,129,共4页
