查詢結果分析
來源資料
相關文獻
- Anterior Knee Pain after Intramedullary Tibial Nailing
- Primary Reamed Intramedullary Nailing of Closed Femoral Shaft Fractures
- 鎖定式骨髓內釘
- Reverse Drilling Technique in Inserting Distal Locking Screws of Interlocking Nail
- Comparison of External Fixator Period in Callotasis with and Without Intramedullary Locking Nails in Patients Undergoing Repeated Limb Lengthening: A Report of Two Cases
- Femoral Interlocking Nailing: A Review of the Experience at Chang Gung Memorial Hospital
- Femoral Lengthening: Callotasis with Ilizarov External Fixator Alone and with Intramedullary Locking Nail
- 股骨骨髓內釘之遠端鎖定骨釘的打入方法
- Early Detection of Tibial Fracture Healing Following Static Interlocking Nailing by High Resolution Ultrasound
- Aseptic Nonunion of a Femoral Shaft Treated Using Exchange Nailing
頁籤選單縮合
題 名 | Anterior Knee Pain after Intramedullary Tibial Nailing=脛骨骨髓內釘手術後膝部前方之疼痛 |
---|---|
作 者 | 于尚文; 杜元坤; 范國豐; 蘇君毅; | 書刊名 | 長庚醫學 |
卷 期 | 22:4 1999.12[民88.12] |
頁 次 | 頁604-608 |
分類號 | 416.26 |
關鍵詞 | 脛骨骨折的固定; 髓內釘; 膝部前方的疼痛; Tibial fracture fixation; Intramedullary nail; Anterior knee pain; |
語 文 | 英文(English) |
中文摘要 | 背景:骨髓內釘手術法已被廣泛認定為治療脛骨幹之骨折最好的方法,但總有些 病患會抱怨術後膝部前方疼痛的問題,有很多種因素會影響到這種後遺症。 方法:我們回溯分析200例脛骨骨折接受髓內釘治療的患者,發現64例病患有膝部疼痛的問 題。而我們就以手術入逕的不同,X光的發現及髓內釘的種類加以分析探討。 結果:在這64位術後引起膝部疼痛的患者中,有45位患者(70%)是經自髕骨韌帶中央為手術 入逕,而只有l9位患者(30%)是經由髕骨韌帶內側為手術入逕。在X光的顯示上,有46位患 者(72%)顯示髓內釘外突,而只有18位患者(28%)沒有髓內釘外突的現象。在髓內釘的種類 上,有43位患者(67%)是使用康氏髓內釘(Kuntscher nail),而只有21位患者(33%)是使用 鎖定髓內釘(interlocking nail)。 結論:術中選取髕骨韌帶中央為手術入逕者,X光顯示髓內釘外突者及使用康氏髓內釘 (Kuntscher nail)者都易造成術後膝部前方疼痛的原因。而這些原因都可由手術方法的改善 來滅少術後引起膝部前方疼痛的併發症。 |
英文摘要 | Background: Currently, intramedullary nailing is a well-accepted method for treating tibial shaft fractures, but some patients complain of anterior knee pain after surgery. Multiple factors may influence this troublesome complication. Methods: This was a retrospective analysis of the medical records of 200 patients who were treated with intramedullary nailing after tibial shaft fractures. Sixty-four patients complained of knee pain after surgery. We evaluated the knee pain in relation to the surgical approach, radiographic readings, and the type of nail used. Results: Among the 64 patients, 45 (70%) received central approaches and 19 (30%) received paramedial approaches (p=O.0002); 46 patients (72%) showed nail protrusions on radiographs and only 18 patients (28%) were without nail impingement (p=0.000l). Forty-three patients (67%) received Kuntscher nail fixation and just 21 patients (33%) had interlocking nail fixation (p=0.00l5). Conclusion: The use of the central patellar tendon splitted approach, nail protrusion observed on radiographs, and the insertion of a non-locking intramedullary nail were all significant risk factors for anterior knee pain after surgery. All these risk factors should be avoided in tibial nailing to decrease the problem of postoperative knee pain. |
本系統中英文摘要資訊取自各篇刊載內容。