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| 題 名 | Open Fixation of Traumatic Non-union of the Sternum=未癒合之外傷性胸骨骨折之手術治療 |
|---|---|
| 作 者 | 李世俊; 程永隆; 王世杰; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 30:4 民86.07-08 |
| 頁 次 | 頁275-279 |
| 分類號 | 416.26 |
| 關鍵詞 | 外傷性胸骨骨折; 手術治療; Sternum; Fracture; Non-union; Open fixation; |
| 語 文 | 英文(English) |
| 中文摘要 | A 23-year-old male who had been involved in a motor vehicle accident about four years ago continued to have pain in the anterior chest, exertional dyspnea, and deformity of sternum for four years following the accident.Repeat roentgenograms confirmed a fracture of the upper third of the sternal body with non-union.And an open reduction and fixation was performed.An autologous bone fragment was used as a bridge between both sides of the fracture with two screws placed on each side.His symptoms improved after operation and he could then tolerate normal activities.At the patient's four-month evaluation, the sternum appeared to be healed with a solid bony union between the fracture fragments. Traumatic fracture of the sternum with non-union is an exceedingly rare condition.We found this procedure to be treatment for this problem. |
| 英文摘要 | 一位二十三歲男性,於四年前因為駕車發生車禍,前胸鈍傷造成胸骨骨折,這四 年來前胸變形,並且常感疼痛及運動時呼吸窘困,而求診。X光片發現胸骨骨折未癒合。病 人接受手術治療時,在去除纖維組織之後,在骨折處出現約有三公分之空隙;故從病人右側 腸骨前上棘取一骨板,利用螺釘將其固定在骨折處。手術後病人症狀逐漸緩減,於術後四個 月追蹤,發現骨折處已有癒合現象。外傷造成胸骨骨折未癒合者相當少見。文獻上,因為此 問題接受手術者,本病例為第四例。在此提出一個處理方式供參考。 |
本系統中英文摘要資訊取自各篇刊載內容。