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时间:2020-04-23
《外固定联合有限内固定治疗Tile C型骨盆骨折-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·590·JournalofPractiealOrthopaedicsVo1.20。No.7,Ju1.2014文章编号:1008—5572(2014)07—0590—04外固定联合有限内固定治疗TileC型骨盆骨折李琳(郑州市骨科医院,河南郑州450000)摘要:目的探究外固定联合有限内固定治疗TileC型骨盆骨折的临床疗效。方法对27例TileC型骨盆骨折采用外固定支架联合有限内固定进行治疗,本组27例,25例获得随访,根据Tile分型,c1型17例,C2型8例。结果本组随访时间为6个月一2年,平均1.5年。骨盆骨折复位后根据Tornetta评分标准评价,优12例,
2、良9例,可3例,差1例,总体优良率为84%;术后功能恢复情况采用MaJeed评分系统评价,优11例,良11例,中2例,差1例,总体优良率为88%。结论对于TileC型骨盆骨折,采用外固定联合有限内固定双重固定不仅可以恢复骨盆环解剖序列的连续性和整体结构的稳定性,而且该方法具有实用、有效、手术创伤小、出血少、外固定支架调整拆卸方便等优点,值得在临床上推广使用。‘关键词:TileC型;骨盆骨折;有限内固定;外固定支架中图分类号:R683.42文献标识码:BExternalFixationCombinedwithLimitedInternalFixationfortheTr
3、eatmentofTileCTypePelvicFractureULin(DepartmentofOrthopedics,ZhengzhouCityHospital,Zhengzhou450000,China)Abstract:ObjecfiveToexploretIleclinicaleffeetsoftheexternalfixationcombinedwithlimitedinternalfixationinthetreatmentofTileCtypepelvicfracture.Methods27patientsofTileCtypepelvicfractu
4、rewereadministratedwithexternalfixationcombinedwithlimitedinternalfixation.25ofthe27patientswerefollowedup.Therewere17patientsofTileC1pelvicfracture;8patientsofTileC2pelvicfracture.Results25patientwerefollowedupfor6monthsto2year(average,1.5years).AccordingtoTornettastandardevaluationsco
5、reafterreductionoffracture,theresultswereexcellentin12cases,goodin9cases,fairin3casesandbadin1cases.ThetotalexceIlentandgoodratewas84%.Accordingt0Majeedscoresystemaf-terthepostoperativefunctionalrecovery,theresultswereexcellentin11cases,goodinl1cases,fairin2casesandbadinlcases.thetotale
6、xcellentandgoodratewas88%.ConclusionExternalfixationcombinedwithlimitedinternalfixationcannotonlyrestorepelvicringcontinuityandoverallstabilityofstructurebutalsohavemangadvantages,suchaspractical,effective[1]谭俊铭,叶晓健,贾连顺,等.腰椎融合术的研究进展spinalimplantrigidityonvertebralbonedensitometry:a[J].中
7、国脊柱脊髓杂志,2006,16(5):397—399.caninemodel[J].Spine,1991,16(6Supp1):190·197.[2]林振宗,赵慧毅,陈辉东,等.后路椎弓根钉内固定加[8]KabinsMB,WeinsteinJN,SprattKF,eta1.IsolatedL4椎间植骨融合治疗腰椎不稳症[J].中国骨与关节——5Fusionsusingthevariablescrewplacementsys—损伤杂志,2005,20(2):88-90.tem:unilateralvelbilateral[J].JSpinalDisor
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