【摘要】：目的:探討橋接組合式內(nèi)固定系統(tǒng)治療四肢長管狀骨骨折的愈合優(yōu)勢方法:回顧性分析山東中醫(yī)藥大學(xué)附屬醫(yī)院從2015年3月至2016年9月收治的四肢長管狀骨骨折的16例患者,分別應(yīng)用橋接組合式內(nèi)固定系統(tǒng)和傳統(tǒng)的釘板固定系統(tǒng)予以手術(shù)治療,依據(jù)影像學(xué)檢查及患者自身狀況,選擇適當(dāng)?shù)闹委煏r(shí)機(jī)和治療方案,記錄手術(shù)時(shí)間及出血量,指導(dǎo)術(shù)后功能恢復(fù)。并分別于術(shù)后按時(shí)門診復(fù)查,拍片檢查內(nèi)固定物的固定情況、骨折斷端的愈合情況及患肢功能的恢復(fù)情況。利用骨折愈合優(yōu)良率及Johner-Wruh功能評價(jià)系統(tǒng)對兩組患者骨折的愈合狀況、患肢的功能恢復(fù)進(jìn)行比較評價(jià),著重觀察橋接組合式內(nèi)固定系統(tǒng)這一治療方法在四肢長管狀骨骨折愈合上的比較優(yōu)勢。結(jié)果:使用橋接組合式內(nèi)固定系統(tǒng)的患者均獲得骨性愈合,患肢功能活動(dòng)良好,X線示無橋接系統(tǒng)固定失效情況,亦無明顯的并發(fā)癥發(fā)生。在手術(shù)時(shí)間及出血量,術(shù)后斷端愈合及患肢功能康復(fù)上均優(yōu)于傳統(tǒng)釘板系統(tǒng)固定。差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:研究證明橋接組合式內(nèi)固定系統(tǒng)治療四肢長管狀骨骨折是具有臨床意義的,尤其在骨折愈合的層面上具有較突出的優(yōu)勢,其獨(dú)特的固定方式及力學(xué)特性,拓展了傳統(tǒng)的骨科內(nèi)固定技術(shù)的治療途徑,也為骨科內(nèi)固定開辟了一個(gè)新的研發(fā)前景。
[Abstract]:Objective: to investigate the advantages of bridging combined internal fixation system in the treatment of long tubular bone fracture of extremities. Methods: 16 cases of long tubular bone fracture of extremities treated from March 2015 to September 2016 in the affiliated Hospital of Shandong University of traditional Chinese Medicine were retrospectively analyzed. The bridged combined internal fixation system and the traditional nail-plate fixation system were applied to the surgical treatment respectively. According to the imaging examination and the patient's own condition, the appropriate treatment time and treatment plan were selected, and the operation time and the volume of bleeding were recorded, and the operation time and blood loss were recorded. To guide the recovery of postoperative function. The fixation of the internal fixator, the healing of the fracture end and the recovery of the function of the affected limb were examined by X-ray examination. The excellent and good rate of fracture healing and the function evaluation system of Johner-Wruh were used to compare and evaluate the healing status of fracture and the functional recovery of the affected limbs between the two groups. To observe the comparative advantage of bridging combined internal fixation system in the healing of long tubular bone fracture of extremities. Results: all the patients with bridged internal fixation system got bony healing, the function of the affected limbs was good, X-ray showed no failure of bridging system fixation, and no obvious complications occurred. The operation time, bleeding volume, wound healing and functional rehabilitation of the affected limbs were better than those of the traditional nail-board system. The difference was statistically significant (P0.05). Conclusion: it has been proved that bridging combined internal fixation system is of clinical significance in the treatment of long tubular bone fracture of extremities, especially on the fracture healing plane, and its unique fixation mode and mechanical properties, especially in the aspect of fracture healing, has been proved to be effective in the treatment of long tubular bone fracture of extremities. It expands the traditional orthopedic internal fixation technique and opens up a new research prospect for orthopaedic internal fixation.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R687.3

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