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[股骨和胫骨干骨折治疗的进展与变化]

[Progress and changes in the treatment of shaft fractures of the femur and tibia].

作者信息

Kessler S B, Schweiberer L

机构信息

Chirurgische Klinik Innenstadt, Universität München.

出版信息

Orthopade. 1989 Jun;18(3):187-93.

PMID:2755698
Abstract

The historical development of the treatment of shaft fractures is outlined. Nowadays there is a number of possibilities for the treatment of shaft fractures: conservative and surgical methods. Operative treatment can be done with screws and plates, with intramedullary or interlocking nailing, and with external fixators. The advantages and risks of the various methods are explained. We should now no longer ask what the best method is for any fracture, but rather what method will provide the best prospects of healing in a particular pattern of injury.

摘要

本文概述了骨干骨折治疗方法的历史发展。如今,骨干骨折的治疗有多种选择:保守治疗和手术治疗。手术治疗可采用螺钉和钢板、髓内钉或带锁髓内钉以及外固定器。文中解释了各种治疗方法的优缺点及风险。我们现在不应再问哪种方法对任何骨折都是最佳的,而应问哪种方法能为特定损伤模式提供最佳的愈合前景。

相似文献

1
[Progress and changes in the treatment of shaft fractures of the femur and tibia].[股骨和胫骨干骨折治疗的进展与变化]
Orthopade. 1989 Jun;18(3):187-93.
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
Treatment of closed tibial fractures.闭合性胫骨骨折的治疗
Instr Course Lect. 2003;52:607-22.
4
[Intramedullary nailing as an alternate method in the management of slow-healing or pseudarthrotic upper and lower leg fractures].[髓内钉固定术作为治疗下肢愈合缓慢或假关节形成骨折的替代方法]
Aktuelle Traumatol. 1986 Jun;16(3):110-6.
5
[Blocking intramedullary osteosynthesis with fixators].[使用固定器进行髓内骨固定术的阻断]
Vestn Khir Im I I Grek. 1998;157(2):83-6.
6
[Conservative management versus osteosynthesis in the treatment of tibial shaft fractures].
Zentralbl Chir. 1989;114(12):757-65.
7
[Clinical use of interlocking intramedullary nail treating in complex and nonunion fracture of femur and tibia].交锁髓内钉治疗股骨和胫骨复杂骨折及骨折不愈合的临床应用
Hunan Yi Ke Da Xue Xue Bao. 2001 Apr 28;26(2):136-8.
8
[Operative and conservative treatment of fractures of the femur (author's transl)].
Zentralbl Chir. 1980;105(17):1127-35.
9
[Results of treatment of open femur shaft fractures in adults (analysis of a retrospective multicenter study)].
Beitr Orthop Traumatol. 1987 Dec;34(12):605-13.
10
[Effect of blocking screws on breakage of interlocking intramedullary nails].[阻挡螺钉对带锁髓内钉断裂的影响]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2007 Mar;21(3):282-4.

引用本文的文献

1
Refractures: a consequence of impaired local bone viability.
Arch Orthop Trauma Surg. 1992;111(2):96-101. doi: 10.1007/BF00443475.