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1、华北理工大学硕士学位论文肌肉萎缩和关节僵直等并发症的发生率得到遏制。虽然交锁髓内钉和锁定钢板从力学及生物学角度促使骨折愈合,有其各自的特点与适应症,但是交锁髓内钉具有固定稳定,便于骨折愈合,降低感染率,减少失血量,降低内固定失败率等优势,可作为长骨简单骨干骨折的首选方法。图15幅;表5个;参96篇。关键词:浮膝损伤;交锁髓内钉;锁定钢板;内固定分类号:R683.42-II-摘要AbstractObjectivesComparisonofeffectsofcureFraserItypefloatin
2、gkneeinjurytibialfracturesbyinterlockingintramedullarynailandlockingplatefixation,furtheranalysisoftwodifferentfixationmethodswhethertherearestatisticallysignificantinsurgerymeantime,bloodloss,timeappearedcallus,loadtime,theaveragehealingtime,postoper
3、ativeefficacy,complications,providethenecessarybasisforFraserItypefloatingfracturesandthetibialkneeinjury.MethodsSelecting45casesofinjurywerefloatingkennpaintFraserItypeweretreatedbyHebeiorthopedictraumacenter(TheSecondHospitalofTangshan)inperiodofJan
4、uary2009-December2013byAretrospectiveanalysis,femoraltreatedbyusinginterlockingintramedullarynail,Theywillbedividedintotwogroups,interlockingintramedullarynailgroupandlockingplategroup,dependingondifferentmethodsofthetibialfixation,follow-upof12to36mo
5、nths,withanaverage24.5±1.5months,Interlockingintramedullarynailgroupof23cases,including13malesand10females,aged18to56years,mean38.5±2.5yearsold,theleftsideof12cases,theright11cases.Causeofinjury:10casesoftrafficinjuries,fallsinjuryin8cases,5casesofcru
6、shinjury;2casesofmergeabdominalorganinjury,chesttrauma2cases;1caseoftraumaticbraininjury.22casesinlockingplategroup,including12malesand10females,Aged18to58years,mean38.5±2.5yearsold.leftsideof10cases,therightside12cases,Causeofinjury:11casesoftraffici
7、njuries,fallsinjuryin7cases,4casesofcrushinjury;Thecombinedabdominalorganinjuryin3cases,1caseofchesttrauma;1caseoftraumaticbraininjury.Comparingtwodifferentfixationmethodsinsurgerymeantime,bloodloss,timeappearedcallus,loadtime,theaveragehealingtime,po
8、stoperativeefficacyofpostoperativecomplications.Results45patientswerefollowedup.Interlockingintramedullarynailgroupandlockingplategrouphasnosignificantdifferenceintermsofcomparableage,gender,leftandright,causeofinjury,etc.(P>0.05),Interlocking