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頁籤選單縮合
題名 | Treatment of Supracondylar Fractures of the Femur=股骨髁上部骨折之治療 |
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作者 | 黃瑞煊; 楊大中; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 14:1 1981.03[民70.03] |
頁次 | 頁10-20 |
關鍵詞 | 股骨髁上部骨折; 治療; |
語文 | 英文(English) |
中文摘要 | 榮民總醫院從民國64年6月至69年5月的5年間,總共治療了46個股骨踝上部骨折的病例。其中17例無法作病情追踪,另29例則平均追踪了18.1個月。14例給予保守療法,有25%得到良好的結果,另15例接受手術治療,有36%得到良好的結果。其中最大的問題乃在於變型癒合及膝關節僵直。本論文討論了手術的適應症,導致治療結果不佳的原因及其改進之道,並強調正確的骨折復位,可靠的骨折固定,與早期膝關節運動乃是得到良好療效的原則。同時並建議使用石膏支架(cast brace),以達到膝關節運動的目的。 |
英文摘要 | Forty-six patients of supracondylar fracture of the femur treated in Veterans General Hospital during a five-year period were reviewed. Twentynine patients were followed with an average length of 18.1 months. Conservative treatment was given in 14 patients with the final result classified as good or excellent in 25% of the patients. The other 15 patients received operative treatment which gave 36% of good or excellent result. Deformity and stiffness of the knee joint were two major problems encountered. The indications of operation and the causes of poor result were discussed. The principles of anatomic reduction, rigid internal fixation and early joint motion were emphasized, and the use of cast brace for early ambulation was suggested. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。