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- Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture: Reduction through a Small Incision without a Fracture Table
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題名 | Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture: Reduction through a Small Incision without a Fracture Table=治療急性股骨骨幹骨折的小傷口骨髓內骨釘術:不需使用骨折桌,經由一個小切開傷口達成骨折復位 |
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作 者 | 廖振中; 謝邦鑫; 莊太元; 蘇君毅; 陳志華; 陳永仁; | 書刊名 | 長庚醫學 |
卷期 | 26:9 2003.09[民92.09] |
頁次 | 頁660-668 |
分類號 | 416.26 |
關鍵詞 | 股骨; 骨折; 小傷口; 內骨釘; Femur; Fracture; Mini-open; Nail; |
語文 | 英文(English) |
中文摘要 | 背景:髓內骨釘通常被運用在股骨骨折的固定。在這個研究中,我們提出一種改良式的手術技術來治療股骨骨折。 方法:從1994至1997年,此手術技術被運用在74個病人(82隻股骨骨折),共70個人(76隻股骨骨折)接受至少3年追蹤評估。手術方法包括在骨折處開辭個小傷口,使用一根手指或骨?進行復位,而不須使用骨折桌。 結果:74個骨折(97%)在曘初6個月癒合,2個病人在最初6個月不癒合。其中一個病人托受骨移植手術,另外一個病人接受閉合式骨髓內釘更換手術。在做此研究時,這二位病人的股骨骨折已癒合。此改良技術所花費平均手術時間為75分鐘。 結論:這項技術的好處是不需使用骨折桌,手術時間短,手術失血少,特別適合運用在有多重外傷的病患上。 |
英文摘要 | Background: Femoral shaft fractures are usually treated with intrameduallary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow0-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97%) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients. |
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