向心性加压型5加1夹板装置治疗稳定型胫腓骨骨折的临床观察

发布时间：2018-05-11 22:25

本文选题：向心性加压型5加1夹板装置 + 胫腓骨骨折　；参考：《湖南中医药大学》2015年硕士论文

【摘要】：目的：观察向心性加压型5加1夹板装置治疗稳定型胫腓骨骨折的临床疗效,并初步探讨向心性加压型5加1夹板装置治疗胫腓骨骨折的作用机理及临床特点。方法：选取符合要求的40例胫腓骨骨折患者,随机分为实验组20例和对照组20例。实验组采用向心性加压型5加1夹板装置治疗,对照组采用石膏外固定治疗。在治疗过程中对骨痂生长的情况、骨折复位的情况、骨折愈合后膝、踝关节功能的恢复情况、并发症的发生情况及总体疗效评价等观察指标进行统计学比较。结果：治疗后,实验组在骨折的复位情况、膝关节功能恢复方面及并发症的发生上无明显差异,在促进骨痂的生长、缩短骨折的愈合时间及踝关节功能恢复上明显优于对照组。实验组在总体疗效评定方面明显优于对照组(p0.05)。结论：向心性加压型5加1夹板装置兼有小夹板及外固定器之长。临床上使用该装置治疗胫腓骨骨折采用闭合复位,创伤小,穿针不剥离骨膜,不损伤骨折端血液循环,且持续给骨折加压,能加快骨折愈合；并能早期、主动的进行功能锻炼和下床活动,减少了长期卧床的并发症；且手术时间短,操作简单易于掌握,治疗费用低,具有“简、便、效、廉”的特点,是治疗稳定型胫腓骨骨折的一种较理想的方法,值得临床上推广。
[Abstract]:Objective: to observe the clinical effect of 5 + 1 splint in treating tibia and fibula fracture, and to explore the mechanism and clinical characteristics of 5 + 1 splint in the treatment of tibia and fibula fracture. Methods: 40 patients with tibia and fibula fracture were randomly divided into experimental group (n = 20) and control group (n = 20). The experimental group was treated with 5 + 1 plywood device and the control group was treated with plaster external fixation. In the course of treatment, the growth of callus, the reduction of fracture, the recovery of knee and ankle function after fracture healing, the occurrence of complications and the evaluation of overall curative effect were compared statistically. Results: after treatment, there was no significant difference in the reduction of fracture, the recovery of knee joint function and the occurrence of complications in the experimental group, but it was superior to the control group in promoting the growth of callus, shortening the healing time of fracture and recovering the function of ankle joint. The experimental group was superior to the control group in evaluating the overall curative effect (P 0.05). Conclusion: the CPP 5 + 1 splint has the advantages of both small splint and external fixator. Clinical treatment of tibia and fibula fracture with closed reduction, small trauma, puncture does not peel periosteum, do not damage the blood circulation at the end of the fracture, and continuous compression of the fracture, can accelerate fracture healing, and can early, Active functional exercise and out of bed activities can reduce the complications of long-term bed rest, and the operation time is short, the operation is simple and easy to master, the treatment cost is low, and it has the characteristics of "simple, convenient, effective and inexpensive". It is an ideal method for the treatment of stable tibia and fibula fracture.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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