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[1]曾令法,施水彬,李秀山,等.急診一期內(nèi)固定術(shù)治療GustiloⅢB型脛腓骨下段骨折[J].中醫(yī)正骨,2015,27(04):38-40.
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急診一期內(nèi)固定術(shù)治療GustiloⅢB型脛腓骨下段骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年04期
頁(yè)碼:
38-40
欄目:
臨床報(bào)道
出版日期:
2015-04-30

文章信息/Info

作者:
曾令法施水彬李秀山楊詩(shī)飛
湖北省荊州市第一人民醫(yī)院,湖北 荊州 434007
關(guān)鍵詞:
脛骨骨折 腓骨 骨折固定術(shù)內(nèi)
摘要:
目的:觀察急診一期內(nèi)固定術(shù)治療GustiloⅢB型脛腓骨下段骨折的臨床療效和安全性。方法:2009年3月至2013年6月,采用急診一期內(nèi)固定術(shù)治療GustiloⅢB型脛腓骨下段骨折患者45例,男43例,女2例。年齡22~62歲,中位數(shù)38歲。軟組織缺損均位于小腿下段前內(nèi)側(cè)。受傷至手術(shù)時(shí)間1~5 h,中位數(shù)3 h。隨訪觀察骨折愈合、并發(fā)癥發(fā)生及患肢功能恢復(fù)情況。結(jié)果:手術(shù)時(shí)間120~180 min,中位數(shù)150 min; 術(shù)中出血量500~600 mL,中位數(shù)550 mL。43例切口甲級(jí)愈合; 1例切口感染,經(jīng)清創(chuàng)、持續(xù)灌注沖洗、負(fù)壓引流、更換抗生素等治療后切口愈合; 1例切口處皮膚壞死,經(jīng)清創(chuàng)、持續(xù)換藥、VSD敷料覆蓋創(chuàng)面、持續(xù)負(fù)壓引流后切口愈合。本組患者均獲得隨訪,隨訪時(shí)間14~28個(gè)月,中位數(shù)16個(gè)月。骨折均愈合,愈合時(shí)間4~7個(gè)月,中位數(shù)5個(gè)月。均無(wú)內(nèi)固定物斷裂、骨不連等并發(fā)癥發(fā)生。按照Mazur踝關(guān)節(jié)評(píng)分系統(tǒng)評(píng)價(jià)療效,優(yōu)38例、良5例、可2例。結(jié)論:采用急診一期內(nèi)固定術(shù)治療GustiloⅢB型脛腓骨下段骨折,手術(shù)時(shí)間短,創(chuàng)傷小,骨折愈合率高,有利于患肢功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] Canale ST.坎貝爾骨科手術(shù)學(xué)[M].9版.濟(jì)南:山東科學(xué)技術(shù)出版社,2001:1948-1949.
[2] 李偉東,李長(zhǎng)德,王建業(yè),等.VSD+外固定架治療Gustilo ⅢB型脛腓骨開放性骨折臨床應(yīng)用[J].黑龍江醫(yī)藥科學(xué),2013,36(1):72.
[3] Mazur JM,Schwartz E,Simon SR.Ankle arthrodesis.Long-term follow-up with gait analysis[J].J Bone Joint Surg Am,1979,61(7):964-975.
[4] Penn-Barwell JG,Bennett PM,Fries CA,et al.Severe open tibial fractures in combat trauma:management and preliminary outcomes[J].Bone Joint J,2013,95(1):101-105.
[5] Nanchalhal J,Nayagam S,Khan U,et al.Standards for the management of open fractures of the lower limb[M].London:royal society of medicine press,2012:156.
[6] Penn-Barwell JG,Murray CK,Wenke JC.Early antibiotics and debridement independently reduce infection in an open fracture model[J].J Bone Joint Surg Br,2012,94(1):107-112.
[7] Mauffrey C,Bailey JR,Bowles RJ,et al.Acute management of open fractures:proposal of a new multidisciplinary algorithm[J].Orthopedics,2012,35(10):877-881.
[8] 毛玉峰,盧永春,謝波.鎖定加壓鋼板內(nèi)固定治療脛腓骨下段粉碎性骨折65例[J].中醫(yī)正骨,2011,23(3):50-51.
[9] Megas P,Saridis A,Kouzelis A,et al.The treatment of infected nonunion of the tibia following intramedullary nailing by the Ilizarov method[J].Injury,2010,41(3):294-299.
[10] Miller BJ,Virkus WW.Intercalary allograft reconstructions using a compressible intramedullary nail:a preliminary report[J].Clin Orthop Relat Res,2010,468(9):2507-2513.
[11] Tarkin IS,Siska PA,Zelle BA.Soft tissue and biomechanical challenges encountered with the management of distal tibia nonunions[J].Orthop Clin North Am,2010,41(1):119-126.
[12] 張光洪,范正偉.一期閉合治療脛腓骨開放性骨折并皮膚缺損[J].中醫(yī)正骨,2003,15(6):36.
[13] 趙志堅(jiān),陳坤峰,張傳林.應(yīng)用外固定架結(jié)合皮瓣移植治療脛腓骨開放性骨折創(chuàng)面[J].中華顯微外科雜志,2013,36(5):507-508.
[14] Davidovitch RI,Elkataran R,Romo S,et al.Open reduction with internal fixation versus limited internal fixation and external fixation for high grade pilon fractures(OTA type 43C)[J].Foot & Ankle International,2011,32(10):955-961.
[15] 張俊杰,孔麗萍.外固定支架固定結(jié)合負(fù)壓封閉引流術(shù)治療脛腓骨開放性骨折[J].中醫(yī)正骨,2012,24(9):32-33.

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備注/Memo

備注/Memo:
2014-11-13收稿 2015-01-16修回
更新日期/Last Update: 2015-04-30