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成人肱骨远端髁上和髁间骨折。关于28例骨固定术

[Supra- and intercondylar fractures of the distal humerus in adults. Apropos of 28 osteosynthesis].

作者信息

Talha A, Toulemonde J L, Cronier P, Lorimier G, Ghestem P, Guntz M

机构信息

Clinique Chirurgicale A, C.H.U. Angers.

出版信息

J Chir (Paris). 1989 Apr;126(4):217-24.

PMID:2659607
Abstract

The authors report their experience of the surgical fixation of supra- and intercondylar fractures over a 13 year period. Twenty eight cases were reviewed with a mean follow-up of 3 years and 85% good and very good results. Postoperative complications were related to defective fixation and inappropriate material. The 4 poor or tolerable results involved compound and comminutive fractures in the context of polytrauma or complicated by sepsis. Amongst the various plates used, A0 3.5 plates (strong and mouldable) provided satisfactory fixation with the possibility of early physical rehabilitation (between 3 and 21 days).

摘要

作者报告了他们在13年期间对髁上和髁间骨折进行手术固定的经验。回顾了28例病例,平均随访3年,85%的结果为良好和非常好。术后并发症与固定缺陷和材料不当有关。4例结果较差或尚可的病例涉及多发伤情况下的复合性和粉碎性骨折,或并发败血症。在使用的各种钢板中,A0 3.5钢板(坚固且可塑形)提供了令人满意的固定,并有可能早期进行身体康复(3至21天之间)。

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