頁籤選單縮合
題 名 | 脛骨鎖定式骨髓內釘的臨床運用 |
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作 者 | 吳基銓; 施俊雄; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 24:2 民80.03-04 |
頁 次 | 頁615-622 |
分類號 | 416.26 |
關鍵詞 | 脛骨鎖定式骨髓內釘; |
語 文 | 中文(Chinese) |
中文摘要 | 大部份脛骨幹骨折可以閉鎖性復位及石膏固定治療,而得到滿意的結果。有一些情況例如:間段性骨折、合併膝部損傷、重度粉碎性骨折、及非脛骨幹狹部之不癒合等情況,則不適合用石膏固定。此時,以脛骨鎖定式鋼釘固定應侵優於利用其他器材。從1986年12月至1989年5月,共有102位成年患者接受此種鋼釘治療及複查至少一年以上。癒合率為90.2%,癒合期平均需4.7個月,膝部活動範圍平均131度。併發症不多(12.7%),也不難處理。從我們經驗顯示:此種鋼釘可補充不能用石膏治療者;雖然其結果很好,由於仍有深部感染之危險,我們認為一般之骨折情況,石膏固定脛骨幹骨折仍應視為優先選擇之方法。 |
英文摘要 | Most tibial shaft fractures can be treated with closed reduction and cast immobilízation, and the results are always satisfactory. There are some conditions such as: segmental fractures, combined knee injury, severe comminuted fractures, and nonisthmic region tibial shaft nonunion, in which cast immobilization is usually inadequate. Then, a tibial interlocking nail is superior to other instruments. From December, 1986 to May, 1989, there were 102 adults treated with tibial interlocking nails and followed up for at least one year (average 25 months) at our hospital. The union rate was 90.2%, and the union period was on average 4.7 months. The knee range of motion was on average 131 degrees. There were a few complications (12.7%) of which the management was not complex. Our experience shows that: a tibial interlocking nail can supplement the deficiency of tibial casting. Although the result of interlocking nailing is satisfactory, we think that basically casting is still the better choice for the treatment of most tibial shaft fractures. |
本系統中英文摘要資訊取自各篇刊載內容。