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[前臂骨折的外科治疗]

[Surgical treatment of forearm fractures].

作者信息

Freund K G, Brøndum V, Sørensen J S, Kejlaa G

机构信息

Ortopaedkirurgisk afdeling, Odense Sygehus.

出版信息

Ugeskr Laeger. 1991 Sep 2;153(36):2487-9.

PMID:1926602
Abstract

A retrospective investigation was undertaken on 62 patients with 103 fractures. Of these, 61 fractures were treated with Rush pin, ten with plate osteosynthesis and three with cerclage. Fifty-three patients were followed up. This revealed that 50% of the patients achieved excellent or satisfactory results. 39% did not have satisfactory results while six patients (9.7%) developed pseudoarthrosis and thus unacceptable results. The healing percentage was 92.3 and the infection rate 3.1. These results are considerably better than previously reported series of forearm fractures treated with medullary osteosynthesis and they are comparable with the results of plate osteosynthesis. Rush pin osteosynthesis appears to be as good as plate osteosynthesis but this should be illustrated by means of a controlled investigation.

摘要

对62例患者的103处骨折进行了回顾性研究。其中,61处骨折采用鲁什针治疗,10处采用钢板内固定,3处采用环扎术。对53例患者进行了随访。结果显示,50%的患者取得了优异或满意的效果。39%的患者效果不理想,6例患者(9.7%)发生了骨不连,因此效果不佳。愈合率为92.3%,感染率为3.1%。这些结果明显优于先前报道的采用髓内固定治疗的前臂骨折系列,并且与钢板内固定的结果相当。鲁什针内固定似乎与钢板内固定效果一样好,但这需要通过对照研究来证明。

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