桥接组合式内固定系统治疗四肢长管状骨骨折的临床研究

发布时间：2019-03-20 14:19

【摘要】：目的:探讨桥接组合式内固定系统治疗四肢长管状骨骨折的愈合优势方法:回顾性分析山东中医药大学附属医院从2015年3月至2016年9月收治的四肢长管状骨骨折的16例患者,分别应用桥接组合式内固定系统和传统的钉板固定系统予以手术治疗,依据影像学检查及患者自身状况,选择适当的治疗时机和治疗方案,记录手术时间及出血量,指导术后功能恢复。并分别于术后按时门诊复查,拍片检查内固定物的固定情况、骨折断端的愈合情况及患肢功能的恢复情况。利用骨折愈合优良率及Johner-Wruh功能评价系统对两组患者骨折的愈合状况、患肢的功能恢复进行比较评价,着重观察桥接组合式内固定系统这一治疗方法在四肢长管状骨骨折愈合上的比较优势。结果:使用桥接组合式内固定系统的患者均获得骨性愈合,患肢功能活动良好,X线示无桥接系统固定失效情况,亦无明显的并发症发生。在手术时间及出血量,术后断端愈合及患肢功能康复上均优于传统钉板系统固定。差异有统计学意义(P0.05)。结论:研究证明桥接组合式内固定系统治疗四肢长管状骨骨折是具有临床意义的,尤其在骨折愈合的层面上具有较突出的优势,其独特的固定方式及力学特性,拓展了传统的骨科内固定技术的治疗途径,也为骨科内固定开辟了一个新的研发前景。
[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.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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