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复杂骨折

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Intraarticular calcaneus fracture is a kind of common fracture of foot,and it is also complicated.

跟骨关节内骨折是常见的足部骨折,也是较复杂的骨折之一。

Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂髋臼骨折的有效治疗方法,扩展型髂股入路对复杂髋臼骨折手术治疗是一个良好的选择。

Donclusion Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂髋臼骨折的有效治疗方法,扩展型髂股入路对复杂髋臼骨折手术治疗是一个良好的选择。

Objective To analyse different of some severe fresh tibial and fibular fracture to take a new nowledge.

目的 对三类新鲜重度胫腓骨骨折治疗进行分析,获得对复杂类型骨折更深的认识。

With simple procedure, reliable fixation, mini operative damage and propitiousness to functional recovery of knee joint, anatomic plate internal fixation plus one stage bone grafting is a relatively good therapeutic approach to the complex comminuted bone fractures of terminal femora.

解剖型钢板内固定、一期植骨治疗股骨下端复杂粉碎性骨折,操作简单,固定可靠,手术创伤小,有利于膝关节功能的恢复,是治疗股骨下端复杂粉碎性骨折较理想的方法。

The agglutination rate is 100%. Conclusion It is an effective way to cure complicated tibiofibula fracture with the toroid clamp stand which does not affect the disposal of surrounded soft tissues.

环形式外固定支架具有稳定骨折,不影响软组织的外科处理,骨折局部血供恢复快,相邻关节功能恢复好,是治疗复杂胫腓骨骨折的有效方法。

From 2003 to 2005, we had cured complicated tibiofibula fracture with toroid clamp stand for 17 cases. They do not go beyond between kneel and ankle. We observed the degree of functional recovery and the close of fracture.

我科于2003年至2005年治疗复杂胫腓骨骨折17例,用闭合穿针,环形外固定支架固定,胫腓骨骨折区域用环形式外固定支架固定,外固定范围不超出膝、踝关节,观察骨折愈合情况和功能恢复程度。

objective to assess the effects to utilize minitype plate internal fixation in radial head fracture of mason ⅲ.methods 10 cases of patients with closed radial head fracture under went minitype plate internal fixation by open reduction,and the functional evaluation of elbow was carried out by the pain,stability,myodynamia of elbow,together with the elbow joint score of broberg and morrey.results in 10 case of patients with 12~24 months follow up(average time 20 months),the elbow joint mean score is 58(30~90) with excellent case 1,good 4,poor 5,and the fineness rate is 50%.conclusion it is failed to treat complicated radial head fracture by minitype plate internal fixation,while maybe it is better to resect or replace radial head for these types.

目的 评价微型钢板治疗masonⅲ型桡骨小头骨折的临床效果。方法对10 例masonⅲ型骨折进行微型钢板内固定,根据患者肘关节活动疼痛、稳定性和肌力情况,依照broberg和morrey肘关节评分标准进行功能评价。结果 10 例患者随访12~24个月,平均20个月,肘关节平均评分58 分(30~90)分,其中优1 例,良4 例,差5 例,优良率50%。结论切开复位微型钢板内固定治疗复杂的masonⅲ型桡骨小头骨折,不能取得良好的临床效果,如果要获得较好的肘关节活动和早期康复,可考虑桡骨小头切除或置换。

Methods:34 cases of tibiofibular fracture complicated with soft-tissue failure were treated with three-dimensional external fixator.

应用三维外固定器治疗开放性骨折、多段骨折、近关节部位骨折等复杂的胫腓骨折共34例。

Conclusions]Complex acetabular fractures with displacement should be evaluated by means of 2D rconstruction and three-dimensional multislice spiral CT.However 3D CT is of little practical value in undisplaced acetabular fractures.

结论]对于有移位的髋臼骨折尤其是复杂的骨折,应尽可能行二维及三维CT重建协助完善术前准备,三维CT对无移位的髋臼骨折实用价值不大。

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