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- Simultaneous Ipsilateral Femoral and Tibial Shaft Fractures-Emphasis on the Principles of Tibial Shaft Treatment
- Surgical Treatment with Hoffmann External Fixator for Infected Plate Osteosynthesis of Tibial Shaft Fracture
- A Comparison between Interlocking Intramedullary Nailing with and without Reaming for the Treatment of Closed Unstable Tibial Shaft Fractures: A Prospective, Randomized Study
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題 名 | Simultaneous Ipsilateral Femoral and Tibial Shaft Fractures-Emphasis on the Principles of Tibial Shaft Treatment=同側性股骨幹及脛骨幹骨折--治療脛骨幹之原則 |
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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 | 25:6 民81.11-12 |
頁 次 | 頁1438-1445 |
分類號 | 416.26 |
關鍵詞 | 同側性股骨幹骨折; 脛骨幹骨折; 治療脛骨幹; |
語 文 | 英文(English) |
中文摘要 | 從1986年12月至1989年12月之三年期間一共有122位同側性股骨幹及脛骨幹骨折之成年病人在本院接受前瞻性治療。此治療之原則為以閉鎖式擴腔式骨髓內釘治療封閉性或開放性股骨幹骨折,治療脛骨幹則優先考慮閉鎖式擴腔式骨髓內釘,但開放性二三型骨折則以骨外固定架固定,在6星期時再換成PTB石膏,過度上下兩端而無法用鎖定式骨髓內釘固定者,則先以長筒石膏固定,在6星期時再換成PTB石膏,複查期至少一年(平均25個月)。結果顯示有高癒合率(股骨89%,脛骨85%及低併發症(19%)。因此作者結論:雖然基本上單獨之脛骨幹骨折應優先以石膏固定治療,合併同側性股骨幹骨折之脛骨幹骨折應視為骨髓內釘治療之適應症。 |
英文摘要 | One hundred and twenty-two consecutive cases of simultaneous ipsilateral femoral and tibial shaft fracture in adults were prospectively treated from December 1986 to December 1989. The treatment of either closed or open femoral shaft fractures was closed reamed intramedullary nailing. Closed intramedullary nailing of the tibial fracture was the choice of treatment when possible. Type II or Type III open tibial fractures were first treated with Hoffmann external fixation, then converted to patellar tendon-bearing (PTB) casting six weeks afterward. Fractures close to the proximal or distal end which were unfit for interlocking nail fixation were treated with long leg casting, followed by conversion to a PTB cast at the appropriate time. The follow-up period was at least one year (average, 25 months). Results showed a high union rate (femur, 89%; tibia, 85%) with a low complication rate (19%) for both fractures. The authors concluded that, although in fact a single tibial shaft fracture could be treated with cast immobilization, yet simultaneous ipsilateral femoral and tibial shaft fractures should be one of the indications for closed reamed intramedullary nailing of the tibia. |
本系統中英文摘要資訊取自各篇刊載內容。