頁籤選單縮合
題 名 | Modified Blair Method for Ankle Arthrodesis=改良之布來爾 (Blair) 踝關節黏合術 |
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作 者 | 林森源; 鄭裕民; 黃鵬如; 田英俊; 葉偉權; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:4 1998.04[民87.04] |
頁 次 | 頁217-220 |
分類號 | 416.61 |
關鍵詞 | 布來爾踝關節黏合術; Ankle arthrodesis; |
語 文 | 英文(English) |
中文摘要 | 把傳統的Blair踝關節黏合手術,以脛骨面斜切下滑,上下翻轉,並加上骨螺斯固定脛骨及距骨,甚或加上U型釘固定踝關節以改良其植骨及固定術法。植骨斜切可得到較大之骨接觸面;上下翻轉以較厚之植骨端插入距骨,可提供較強之骨橋經得起距骨端之螺絲釘固定;此距骨端之固定可促進骨瘉合且保持踝關節之固定位置。從1987到1990年間有34個患者以此法行踝關節黏合術,其黏合率達91.2%而平均癒合時間為5.6個月。以這些改良之法,在無關節面施壓之情況下,亦可得到良好的踝關節癒合。 |
英文摘要 | In this study,the ordinary Blair’s ankle arthrodesis was modified by longitudinal oblique cutting to get the sliding bone graft, up side down grafting, and additional screw fixation at talar site with or without staples fixation of tibia-talar junction. The method of ankle arthrodesis was used on 34 cases from 1987 to 1990 with a 91.2% fusion rate and an average 5.6 months fusion time. The oblique cut bone graft provided larger contact surface to enhance bony fusion and the upside- down bone graft provided stronger tibia-talar bone bridge with thicker cortex for distal screw fixation and the distal screw fixation of bone graft to talus had the advantage of securing union and maintaining position. With such modifications, solid ankle arthrodesis could be obtained even without Interarticular compression. |
本系統中英文摘要資訊取自各篇刊載內容。