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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。

相似文献

1
[Cause, prognosis and therapy of tibial pseudarthroses].[胫骨假关节的病因、预后及治疗]
Aktuelle Traumatol. 1989 Oct;19(5):205-8.
2
[Treatment concepts and results in non-infected post-traumatic pseudarthroses of the femur and tibia].[股骨和胫骨非感染性创伤后假关节的治疗理念与结果]
Zentralbl Chir. 1994;119(10):706-13.
3
[Significance of the fibula in tibial fractures and pseudarthroses].[腓骨在胫骨骨折和假关节中的意义]
Aktuelle Traumatol. 1985 Oct;15(5):195-204.
4
[The value of intramedullary boring and intramedullary splinting in revision of infected pseudarthroses].
Unfallchirurg. 1995 Mar;98(3):145-50.
5
[Results of surgical therapy of open tibial shaft fractures].
Zentralbl Chir. 1987;112(23):1508-14.
6
[Analysis of 55 post-traumatic pseudarthroses after tibial fracture].
Zentralbl Chir. 1994;119(10):702-5.
7
[Pseudarthroses of the fibula following fracture of the lower leg].小腿骨折后腓骨假关节
Unfallchirurg. 1989 Apr;92(4):191-4.
8
Reosteosynthesis of the tibial shaft. Part I. Changement of procedure after external fixation.胫骨干的再骨合成。第一部分。外固定后手术方法的改变。
Acta Chir Belg. 1989 Sep-Oct;89(5):281-6.
9
[Treatment of complex fractures of the ankle and their sequellae using trans-plantar intramedullary nailing].[经足底髓内钉治疗踝关节复杂骨折及其后遗症]
Acta Orthop Belg. 1997 Dec;63(4):294-304.
10
Treatment of infected pseudarthrosis of the femur and tibia with an interlocking nail.使用带锁髓内钉治疗股骨和胫骨感染性假关节。
Clin Orthop Relat Res. 1986 Nov(212):174-81.

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