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| 題 名 | 股骨遠端開放性骨折 |
|---|---|
| 作 者 | 王焯林; 邵克勇; 林重道; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 21:6 1988.11[民77.11] |
| 頁 次 | 頁695-704 |
| 分類號 | 416.26 |
| 關鍵詞 | 股骨遠端; 開放性骨折; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 三軍總醫院及陸軍八○四總醫院,1980年7月至1985年6月,共蒐集了55例股骨遠端端開放性骨折。受傷的主要原因是騎機車肇禍引起(49.1%)。其中3例死亡,另7例因血管或軟組織嚴重損傷而接受膝上截肢術。其餘45例接受我們的治療及研究。其中24例接受手術復位及內固定;另4例接受外固定治療;其餘17例則先接受骨骼牽引治療,再施以石膏固定。在手術復位併行內固定組的治療感染率是41.7%;而外固定或骨骼牽引治療組的感染率是38.1%。前者治療方法,結果滿意的有75%;後者則只有47.6%。因此,若以解剖上的復位及功能上的恢復為評估標準,均顯示手術復併行內固定的治療方法,要優於保守的骨骼牽引或外周定治療法。 |
| 英文摘要 | Between July 1980-June 1985, 55 open fractures of the distal femur were treated at the TSGH & 804 AGH. The major mechanism of injuries was due to motorcycle accident (49.1%). Three of them were dead. Seven received A-K amputation because of severely vascular or soft tissue injuries. Twenty four cases received open reduction and internal fixation with various implants. Four cases were treated with external fixation Seventeen cases were treated with skeletal traction and cast-brace. Infection rate was 41.7% in group of open reduction and internal fixation & 38.1% in group of external fixation or skeletal traction. The ratio of satisfactory result was 75.0% in group of internal fixation & 47.6% in group of non-internal fixation. However, the group treated by open reduction and internal fixation gains better result of anatomic reduction and functional recovery than the group treated by external fixation or skeletal traction. |
本系統中英文摘要資訊取自各篇刊載內容。