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find Author "彭维波" 2 results
  • EFFECTIVENESS OF MODIFIED OPERATION FOR TREATMENT OF OLD MONTEGGIA FRACTURE

    ObjectiveTo investigate the effectiveness of a modified surgical treatment of old Monteggia fracture. MethodsBetween March 2006 and December 2013, 40 cases of old Monteggia fracture were treated with modified operation. Modified operation procedure included expanding excision of pedicled forearm fascia flap for reconstruction of the annular ligament and repair of elbow radial lateral collateral ligament complex and extending osteotomy of the ulna, callus replantation, and internal fixation with steel plate. There were 26 boys and 14 girls, aged 2-10 years with an average age of 4 years. Injury was caused by falling in 24 cases, by traffic accident in 8 cases, and by falling from height in 8 cases. The disease duration was 2-11 months (mean, 4 months). Four patients had combined radial nerve palsy. ResultsIncision healed by first intention after operation, without early complication of radial nerve palsy, fascial compartment syndrome, or decreased hand extensor muscle strength. All the children were followed up 1-5 years (mean, 2.5 years). X-ray films showed fracture healing, and the healing time was 10-20 weeks (mean, 15 weeks). During follow-up, 3 cases had re-dislocation. Neither hand dysfunction caused by hand muscle adhesion nor radial head bottleneck shape change was found. On the basis of the functional evaluation criteria by Mackay, the results were excellent in 32 cases, good in 5 cases, and poor in 3 cases; the excellent and good rate was 92.5% at last follow-up. ConclusionThe modified surgical treatment of old Monteggia fracture is an effective method, with good matching of humeroradial joint and without internal fixation of the humeroradial joint.

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  • 锁定接骨板外固定和组合臂式外固定架治疗胫骨开放性骨折的比较研究

    目的 比较组合臂式外固定架与锁定接骨板外固定治疗胫骨开放性骨折的临床疗效。 方法 回顾分析 2011 年 6 月—2015 年 1 月采用锁定接骨板外固定治疗的 37 例胫骨开放性骨折患者临床资料,并与同期采用组合臂式外固定架治疗的 55 例患者进行比较。两组患者年龄、Gustilo 分型、合并伤、软组织缺损范围等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。 结果 所有患者均获随访,随访时间 9~14 个月,平均 12 个月。两组患者手术时间、术中失血量、住院时间比较差异无统计学意义(P>0.05);研究组骨折愈合时间及治疗费用均低于对照组(P<0.05)。术后 8 个月,对照组外固定架针道松动发生率为 76.4%(42/55),骨不连发生率为 29.1%(16/55),返岗工作率为 70.9%(39/55);研究组分别为 8.1%(3/37)、8.1%(3/37)和 91.9%(34/37),两组比较差异均有统计学意义(P<0.05)。对照组 42 例患者发生畸形愈合,而研究组未见钢板扭曲、螺钉退出等并发症。末次随访时按 Johner & Wruhs 评价法评价,对照组优良率为 60.0%(33/55),研究组为 91.9%(34/37),比较差异有统计学意义(χ2=2.704,P=0.002)。 结论 锁定接骨板外固定治疗胫骨开放性骨折,操作简便、骨折愈合快,可有效固定骨折。

    Release date:2017-09-07 10:34 Export PDF Favorites Scan
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