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[胫骨假关节的病因、预后及治疗]

[Cause, prognosis and therapy of tibial pseudarthroses].

作者信息

Bergmann A, Schwarz B, Mittelmeier H

机构信息

Orthopädische Universitätsklinik Homburg/Saar.

出版信息

Aktuelle Traumatol. 1989 Oct;19(5):205-8.

PMID:2573251
Abstract

A report on surgical treatment of 75 pseudarthroses of the tibia, 64 cases of which could be followed up for assessing the treatment results. The majority of these were pseudarthroses due to infection or associated with atrophy, that is to say, cases that were difficult to treat. Stabilization was usually effected by osteosynthesis with autocompression plates; in the majority of cases autologous bone grafts were performed additionally. In 82.8% of the cases cure of the pseudarthrosis was achieved, in 68.8% already by first surgery. 7.8% of the patients refused further surgical treatment. 9.4% are still under treatment at the time of writing.

摘要

一份关于75例胫骨假关节手术治疗的报告,其中64例可进行随访以评估治疗效果。这些病例中的大多数是由感染引起或伴有萎缩的假关节,也就是说,属于难以治疗的病例。通常通过使用自动加压钢板进行骨内固定来实现稳定;大多数情况下还会额外进行自体骨移植。82.8%的病例实现了假关节的治愈,68.8%的病例在首次手术时就已治愈。7.8%的患者拒绝进一步手术治疗。在撰写本报告时,9.4%的患者仍在接受治疗。

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