頁籤選單縮合
題名 | 使用霍夫曼骨外固定器治療開放性脛骨骨折(二百三十四例二至六年追蹤臨床報告) |
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作者 | 翁文能; 楊文一; 施俊雄; | 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712-719 |
分類號 | 416.26 |
關鍵詞 | 霍夫曼骨外固定器; 開放性脛骨骨折; |
語文 | 中文(Chinese) |
中文摘要 | 自1981年7月至1985年6月,四年期間,長度紀念醫院骨科,因開放性脛骨骨折,經急診住院,接受霍夫曼骨外固定器治療者,一共234例。男189例,女45例。平均年齡34歲,平均住院日數44天,平均骨外固定器使用時間104天。追蹤至骨癒合者141例,平均骨癒合時間229天。其中未接受植骨術者87例,平均骨癒合時間是201天;接受過植骨術者54例,平均癒合時間是274天。 霍夫曼骨外周定器給予局部傷口的處理,合併器官傷害的照顧,和分期重建手術的進行,極大的方便。對於骨髓炎的降低,亦頗有幫助。最常見的併發症是釘道感染(15%)。經本篇的研究經驗,我們認為霍夫曼骨外固定器,是治療開放性脛骨骨折,非常理想的工具。唯需在有經驗的骨科醫師的監督下,方可行之。 |
英文摘要 | Two hundred and thirty-four cases of open tibial fractures were treated with the Hoffmann external skeletal fixator in Chang Gung Memorial Hospital between July 1981 and June 1985. Patient age ranged from 4 to 85 years old (average 34 years). One hundred and fifty-two cases (64.9%) were comminuted or segmental fractures; 165 cases (70.5%) were associated with other injuries. The average hospitalization time was 44 days. The average external fixation time was 104 days. One hundred and forty-one cases were followed up until fracture union (follow-up time ranging from two to six years). The average union time of the non-bone graft group (87 cases) was 201 days; the average union time of bone graft group (54 cases), 274 days. The Hoffmann external skeletal fixator provided stable fracture fixation and early mobilization which facilitated critical care of polytrauma victims, local wound management and staged soft tissue reconstruction. It was also effective in reducing the osteomyelitis rate (5.5%) The most significant local complication was pin tract infection (15%). From this study, it was concluded that the Hoffmann external skeletal fixator is very useful in the management of high grade open tibial fracture. However, it should be performed by an experienced orthopedic surgeon. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。