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ID:32672046
大小:460.62 KB
页数:41页
时间:2019-02-14
《锁定加压钢板(lcp)结合mippo技术治疗胫骨远端骨折临床疗效分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、TheClinicalEfficacyAnalysisofCombinationLCPandMIPPOSurgicalTreatmentforDistalTibialFractureSpeciality:OrthopaedicsofTCMAuthor:XuYiTutor:Prof.QiShangfengAbstractObjective:Toresearchsurgicaltreatmentfordistaltibialfracture,improvethecurerate.Methods:FormMarch2010toApril2011,45casesofdistaltibial
2、fracturesweretreatedwithlockingcompressionplate(LCP)combinedwithMIPPO.21patientswereatleftknees,23wereatrightknees,1wereatbilateralknees,30concomitantfibulafractures.Therewere26casesmaleand19casesfemaleagingfrom20to68(mean38.2).Preoperativeevaluationofsofttissueclearsthetimingofsurgery;insurge
3、ry,weshouldpayattentiontotheprotectionofthesofttissue,thereasonablechoiceoffixationanditsfixedway;aftersurgery,weshouldguidepatientstodolimbfunctionandrehabilitationexercisetoreducetheincidenceofcomplications.Thesepatientswerefollowedupfrom12monthsto14yearswithanaveragetime12.5months.X-rayre-i
4、nspectedregularly,observedthestationsoftibialfracturehealing,andcheckedthepostoperativecomplicationsandtheactivitiesofanklefunction.Results:Allfracturereachedbonehealing.Press:toJohner-Wruhsjointfunctionassessmentstandards:45caseswerefollowedup,12weekspostoperationexcellentin23,goodin12,fairin
5、7andpoorin3,and77.78%excellentorgoodresultswereobtained;oneyearpostoperationexcellentin26,goodin14,fairin5,andpoorin0.89.58%excellentorgoodresultswereobtained.Conclusion:Useoflockingcompressionplate(LCP)combinedwithMIPPOtechniqueinthetreatmentofdistalTibialfracturecanhavereliableandstablefixat
6、ionandexcellentclinicaleffect.Earlyreasonablefunctionexercisecanreducetheincidenceofpostoperativecomplications.KeywordsLockingCompressionPlate(LCP);MIPPO;DistalTibialFracture.目录引言...................................................................................................................
7、............1临床研究...............................................................................................................................3一、临床资料.....................................................................................
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