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儿童骨骺损伤的纤维蛋白胶骨接合术

Fibrin glue osteosynthesis of epiphyseal injuries in children.

作者信息

Havránek P, Hájková H

出版信息

Acta Univ Carol Med (Praha). 1989;35(7-8):255-64.

PMID:2520155
Abstract

The osteosynthesis of epiphyseal injuries by a two-component fibrin glue was performed in five children. Three of them had finger fractures, two patients had slightly displaced distal tibial and fibular fractures. All children recovered without sequelae. They have been followed for three to twelve months after surgery and did not show any negative consequences. The glue osteosynthesis of physeal injuries will be appropriate only in more stable fractures where the fragments are not exposed to greater dislocating power because this type of synthesis is not very firm. In open injuries it is possible to add antibiotic to the glue, which represents a great advantage compared with the use of metal. It is essential to combine the osteosynthesis with plaster of Paris during the whole healing period.

摘要

对五名儿童进行了双组分纤维蛋白胶骨骺损伤骨合成术。其中三名儿童手指骨折,两名患者胫骨远端和腓骨骨折略有移位。所有儿童均康复且无后遗症。术后对他们进行了三至十二个月的随访,未发现任何不良后果。骨骺损伤的胶水骨合成仅适用于骨折碎片未受到更大脱位力影响的更稳定骨折,因为这种类型的合成不太牢固。在开放性损伤中,可以在胶水中添加抗生素,与使用金属相比,这是一个很大的优势。在整个愈合期间,将骨合成与巴黎石膏结合使用至关重要。

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