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[1]張濤,萬(wàn)春友,趙遠(yuǎn)航,等.骨痂力學(xué)測(cè)試在脛腓骨骨折支架外固定術(shù)后骨折愈合評(píng)價(jià)中的應(yīng)用價(jià)值[J].中醫(yī)正骨,2019,31(10):26-30.
　ZHANG Tao,WAN Chunyou,ZHAO Yuanhang,et al.Applied values of bony callus mechanical testing in evaluation of fracture healing after external fixation with Taylor spatial frame for treatment of tibiofibular fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(10):26-30.
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骨痂力學(xué)測(cè)試在脛腓骨骨折支架外固定術(shù)后骨折愈合評(píng)價(jià)中的應(yīng)用價(jià)值()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年10期
頁(yè)碼:
26-30
欄目:
外固定技術(shù)
出版日期:
2019-10-20

文章信息/Info

Title:
Applied values of bony callus mechanical testing in evaluation of fracture healing after external fixation with Taylor spatial frame for treatment of tibiofibular fractures
作者:
張濤1; 萬(wàn)春友1; 趙遠(yuǎn)航2; 姚輝1; 梅曉龍1; 李宏宙1; 張寧寧1; 劉釗1; 張偉業(yè)2
(1.天津市天津醫(yī)院,天津 300211; 2.天津中醫(yī)藥大學(xué)研究生院,天津 301617)
Author(s):
ZHANG Tao1; WAN Chunyou1; ZHAO Yuanhang2; YAO Hui1; MEI Xiaolong1; LI Hongzhou1; ZHANG Ningning1; LIU Zhao1; ZHANG Weiye2
1.Tianjin Hospital,Tianjin 300211,China 2.Graduate college of Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China
關(guān)鍵詞:
脛骨骨折;  骨折愈合;  外固定器;  骨痂;  力學(xué)測(cè)試
Keywords:
tibial fractures;  fracture healing;  external fixators;  bony callus;  mechanical test
摘要:
目的:探討骨痂力學(xué)測(cè)試在脛腓骨骨折支架外固定術(shù)后骨折愈合評(píng)價(jià)中的應(yīng)用價(jià)值。方法:回顧性分析74例采用Taylor空間支架外固定治療的脛腓骨骨折患者的病例資料,根據(jù)術(shù)后評(píng)價(jià)骨折愈合的方法不同將其分為骨痂力學(xué)測(cè)試組38例和傳統(tǒng)方法組36例。骨痂力學(xué)測(cè)試組術(shù)后12周開(kāi)始進(jìn)行骨痂力學(xué)測(cè)試判斷骨折愈合情況,每4周測(cè)試1次; 傳統(tǒng)方法組術(shù)后定期復(fù)查,根據(jù)骨折臨床愈合標(biāo)準(zhǔn)、影像學(xué)檢查結(jié)果及醫(yī)師經(jīng)驗(yàn)判斷骨折愈合情況。比較2組患者帶外固定支架時(shí)間及并發(fā)癥發(fā)生情況。結(jié)果:2組患者均獲得隨訪,隨訪時(shí)間7～12個(gè)月,中位數(shù)8個(gè)月。骨痂力學(xué)測(cè)試組患者帶外固定支架時(shí)間短于傳統(tǒng)方法組[(175.30±5.60)d,(346.90±21.64)d,t=-8.670,P=0.000]。2組患者均無(wú)骨折不愈合、再骨折等并發(fā)癥發(fā)生。結(jié)論:在脛腓骨骨折支架外固定術(shù)后,應(yīng)用骨痂力學(xué)測(cè)試評(píng)價(jià)骨折愈合情況,可以縮短患者佩戴外固定支架的時(shí)間,安全性好。
Abstract:
Objective:To explore the applied values of bony callus mechanical testing in the evaluation of fracture healing after external fixation with Taylor spatial frame(TSF)for treatment of tibiofibular fractures.Methods:The medical records of 74 patients who received external fixation with TSF for treatment of tibiofibular fractures were analyzed retrospectively,and the patients were divided into bony callus mechanical testing group(38 cases)and conventional method group(36 cases)according to the postoperative fracture healing evaluation methods.The bony callus mechanical testing was performed on patients in bony callus mechanical testing group for evaluating fracture healing at 12 weeks after the surgery,and the bony callus mechanical testing was performed once 4 weeks.The periodic reexamination was performed on patients in conventional method group after the surgery,and the fracture healing was evaluated according to clinical fracture healing standard,imaging examination results and physicians' experience-based judgment.The TSF fixation time and complication incidences were compared between the 2 groups.Results:All patients in the 2 groups were followed up for 7-12 months with a median of 8 months.The TSF fixation time was shorter in bony callus mechanical testing group compared to conventional method group(175.30+/-5.60 vs 346.90+/-21.64 days,t=-8.670,P=0.000).No complications such as fracture nonunion and refracture were found in both of the 2 groups.Conclusion:Bony callus mechanical testing for evaluating fracture healing can shorten TSF fixation time after TSF external fixation for treatment of tibiofibular fractures,and it has high safety.

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(收稿日期:2019-08-05 本文編輯:時(shí)紅磊)
更新日期/Last Update: 2019-10-15