[1]李路广 史长龙△ 吴钟凯 成永忠.弯针配合半环形外固定架治疗胫骨中下段骨折21例[J].中国中医骨伤科杂志,2021,29(12):43-46.
　LI Luguang SHI Changlong WU Zhongkai CHENG Yongzhong.21 Cases Clinical Study for Bending Needle Combined with Semi-Circular External Fixator on the Treatment of Middle and Lower Tibial Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):43-46.
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弯针配合半环形外固定架治疗胫骨中下段骨折21例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年12期
页码:
43-46
栏目:
临床报道
出版日期:
2021-12-15

文章信息/Info

Title:
21 Cases Clinical Study for Bending Needle Combined with Semi-Circular External Fixator on the Treatment of Middle and Lower Tibial Fracture
文章编号:
1005-0205(2021)12-0043-04
作者:
李路广1 史长龙1△ 吴钟凯1 成永忠1
Author(s):
LI Luguang SHI Changlong WU Zhongkai CHENG Yongzhong
1Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China.
关键词:
胫骨中下段骨折;  弯针;  半环形外固定架;  微创
Keywords:
middle and lower tibial fracture;  bending needle;  semi-circular external fixator;  minimally invasive
分类号:
R683.42
文献标志码:
B
摘要:
目的:观察弯针配合半环形外固定架治疗胫骨中下段骨折的临床疗效。方法:回顾性分析2019年6月至2020年9月,应用弯针配合半环形外固定架治疗的21例胫骨中下段骨折患者。观察手术时间、术中透视次数、拆除外固定架时间、骨折临床愈合时间及术后并发症,并评价临床疗效。结果:21例患者获得随访,随访时间为5～16个月,手术时间为23～75 min,术中透视次数为5～25次,术后3～4个月拆除外固定架。所有患者临床疗效的优良率为90.48%,骨折临床愈合时间3～5个月,均未出现皮肤坏死、针孔感染、下肢血栓形成、关节僵硬或内固定断裂等并发症。结论:弯针配合半环形外固定架治疗胫骨中下段骨折,操作简单,稳定性更好,术后可早期下地负重,骨折愈合率高,并发症少。
Abstract:
Objective:To observe the clinical efficacy of bending needle combined with semi-circular external fixator on the treatment of middle and lower tibial fracture.Methods:21 patients with middle and lower tibial fractures from June 2019 to September 2020 were treated with bending needle combined with semi-circular external fixator.The time of operation, removing external fixator and clinical healing, the times of intraoperative fluoroscopy and postoperative complications were observed, and the clinical efficacy was evaluated.Results:21 patients were followed up for 5 to 16 months.The operation time was 23 to 75 min.The number of intraoperative fluoroscopies were 5 to 25 times, and the external fixator was removed 3 to 4 months after operation.The excellent and good rate of clinical curative efficacy of all patients was 90.48%.The clinical healing time of fracture was 3 to 5 months.There was no complications such as skin necrosis, pinhole infection, lower limb thrombosis, joint stiffness or fracture of internal fixation.Conclusion:Bending needle combined with semi-circular external fixator on the treatment of middle and lower tibial fracture has the advantages of simple operation, better stability, early weight bearing, high fracture healing rate and less complications.

参考文献/References:

[1] LI Y,JIANG X,GUO Q,et al.Treatment of distal tibial shaft fractures by three different surgical methods:a randomized,prospective study[J].Int Orthop,2014,38(6):1261-1267.
[2] LARSEN P,ELSOE R,HANSEN S H,et al.Incidence and epidemiology of tibial shaft fractures[J].Injury,2015,46(4):746-750.
[3] 张勇,张树立,王景彦,等.应用双反牵引器结合锁定钢板微创治疗胫骨中下1/3骨折30例[J].中国中医骨伤科杂志,2020,28(10):68-69.
[4] GUO J J,TANG N,YANG H L,et al.A prospective,randomised trial comparing closed intramedullary nailing with percutaneous plating in the treatment of distal metaphyseal fractures of the tibia[J].J Bone Joint Surg Br,2010,92(7):984-988.
[5] 宋建伟.轴向应力可调节单臂外固定架治疗胫骨干骨折[J].中国矫形外科杂志,2021,29(4):357-360.
[6] RüEDI T P,BUCKLEY R E,MORAN C G.骨折治疗的AO原则[M].2版.危杰,刘璠,吴新宝,等译.上海:上海科学技术出版社,2010:624-625.
[7] FREEDMAN E L,JOHNSON E E.Radiographic analysis of tibial fracture malalignment following intramedullary nailing[J].Clin Orthop Relat Res,1995,315:25-33.
[8] HENDRICKX L A M,VIRGIN J,VAN DEN BEKEROM M P J,et al.Complications and subsequent surgery after intra-medullary nailing for tibial shaft fractures:Review of 8 110 patients[J].Injury,2020,51(7):1647-1654.
[9] 徐浩,金成,钱晶晶,等.三种固定技术治疗胫骨中下段骨折短期疗效比较[J].浙江中西医结合杂志,2021,31(3):256-259.
[10] MCMAHON S E,LITTLE Z E,SMITH T O,et al.The management of segmental tibial shaft fractures:A systematic review[J].Injury,2016,47(3):568-573.
[11] HAO Z C,XIA Y,XIA D M,et al.Treatment of open tibial diaphyseal fractures by external fixation combined with limited internal fixation versus simple external fixation:a retrospective cohort study[J].BMC Musculoskelet Disord,2019,20(1):311.
[12] MILENKOVIC S,MITKOVIC M,MITKOVIC M.External fixation of segmental tibial shaft fractures[J].Eur J Trauma Emerg Surg,2020,46(5):1123-1127.
[13] 李国梁,王旭洋,赵建勇,等.腓骨穿针内固定联合孟氏架外固定治疗胫腓骨骨折的临床研究[J].中医正骨,2021,33(4):22-27.
[14] 杨世明,郭兵,陈小杰.弹性髓内针结合Ilizarov外固定架治疗胫骨大段缺损的疗效研究[J].福建医科大学学报,2019,53(6):409-412.

备注/Memo

备注/Memo:
基金项目:北京市自然科学基金面上项目(7172243)1中国中医科学院望京医院(北京,100102)△通信作者 E-mail:shichanglong126@126.com
更新日期/Last Update: 1900-01-01