骨折端微动数字化测控系统在胫腓骨中下段双骨折外固定支架固定后早期负重锻炼中的应用
发布时间：2018-10-13 09:34
【摘要】：目的:探讨骨折端微动数字化测控系统在胫腓骨中下段双骨折外固定支架固定术后早期负重锻炼中的应用价值。方法:2006年1月至2007年12月收治266例胫腓骨中下段双骨折患者。男196例,女70例;年龄22~65岁,中位数47岁;病程1 h至13 d,中位数3 d;开放性骨折110例,闭合性骨折156例。所有患者的胫骨骨折均为不稳定性骨折,均采用外固定支架进行固定,术后7 d内患肢制动,仅进行踝关节活动,术后第8天开始应用骨折端微动数字化测控系统进行负重锻炼,设定骨折端微动范围为0.1~2 mm。术后6周开始对患肢进行X线检查,2周1次,观察骨折愈合情况。结果:除49例因设备故障或未按时复诊等原因未获得完整数据外,其余217例患者均获得完整数据。212例患者的骨折达到临床愈合标准,其中6周23例、8周81例、10周85例、12周10例、14周5例、16周4例、18周2例、22周2例,5例骨折不愈合或愈合不良,经再次手术内固定后愈合。结论:胫腓骨中下段双骨折外固定支架固定术后,应用骨折端微动数字化测控系统进行早期负重锻炼,可精确控制骨折端微动范围,有利于促进骨折愈合。
[Abstract]:Objective: to investigate the application value of digital measurement and control system of fretting in fracture end in early loading exercise after double external fixation of middle and lower tibia and fibula fracture. Methods: from January 2006 to December 2007, 266 patients with middle and lower tibia and fibula fractures were treated. There were 196 males and 70 females, aged 2265 years (median 47 years), 1 h to 13 days (median 3 days), 110 open fractures and 156 closed fractures. The tibial fractures of all the patients were unstable fractures and were fixed with external fixator. The affected limbs were immobilized within 7 days after operation, and only the ankle joint was moved. On the 8th day after operation, the fretting digital measurement and control system of fracture end was used to carry out load exercise, and the range of fretting at fracture end was set to be 0. 1 渭 m 2 mm.. X-ray examination of the affected limb was performed 6 weeks after operation, and the fracture healing was observed once 2 weeks. Results: with the exception of 49 patients who failed to obtain complete data due to equipment failure or failure to return on time, 217 patients received complete data. 212 cases of fractures reached the standard of clinical healing. There were 23 cases at 6 weeks, 81 cases at 8 weeks, 85 cases at 10 weeks, 10 cases at 12 weeks, 5 cases at 14 weeks, 4 cases at 16 weeks, 2 cases at 18 weeks and 2 cases at 22 weeks. Conclusion: the application of fretting digital measurement and control system for early loading exercise after external fixation of middle and lower tibial and fibula fractures can accurately control the range of fretting at the fracture end and promote fracture healing.
【作者单位】： 山东省文登整骨医院;
【分类号】：R687.32
本文编号：2268128
[Abstract]:Objective: to investigate the application value of digital measurement and control system of fretting in fracture end in early loading exercise after double external fixation of middle and lower tibia and fibula fracture. Methods: from January 2006 to December 2007, 266 patients with middle and lower tibia and fibula fractures were treated. There were 196 males and 70 females, aged 2265 years (median 47 years), 1 h to 13 days (median 3 days), 110 open fractures and 156 closed fractures. The tibial fractures of all the patients were unstable fractures and were fixed with external fixator. The affected limbs were immobilized within 7 days after operation, and only the ankle joint was moved. On the 8th day after operation, the fretting digital measurement and control system of fracture end was used to carry out load exercise, and the range of fretting at fracture end was set to be 0. 1 渭 m 2 mm.. X-ray examination of the affected limb was performed 6 weeks after operation, and the fracture healing was observed once 2 weeks. Results: with the exception of 49 patients who failed to obtain complete data due to equipment failure or failure to return on time, 217 patients received complete data. 212 cases of fractures reached the standard of clinical healing. There were 23 cases at 6 weeks, 81 cases at 8 weeks, 85 cases at 10 weeks, 10 cases at 12 weeks, 5 cases at 14 weeks, 4 cases at 16 weeks, 2 cases at 18 weeks and 2 cases at 22 weeks. Conclusion: the application of fretting digital measurement and control system for early loading exercise after external fixation of middle and lower tibial and fibula fractures can accurately control the range of fretting at the fracture end and promote fracture healing.
【作者单位】： 山东省文登整骨医院;
【分类号】：R687.32
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