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骨折维持复位架在股骨干骨折闭合复位中的应用。

Application of fracture-sustaining reduction frame in closed reduction of femoral shaft fracture.

机构信息

Department of Orthopaedics, Second Hospital of Shanxi Medical University, No. 382 of Wuyi Road, Xinghualing District, Taiyuan, 030001, China.

Department of Orthopaedics, 541 General Hospital, Yuncheng, 043801, China.

出版信息

J Orthop Surg Res. 2019 May 22;14(1):147. doi: 10.1186/s13018-019-1145-6.

Abstract

OBJECTIVES

This study aims to explore the clinical efficacy of applying a new reduction brace in the closed reduction of femoral shaft fracture.

METHODS

A total of 18 patients with femoral shaft fracture, who were admitted to the Bone Trauma Surgery, Second Hospital of Shanxi Medical University, from September 2015 to January 2017, were chosen. A novel reduction brace combined with closed reduction intramedullary nail insertion on the traction table adopted for the orthopedic surgery was taken for the fixation. Then, surgical time, bleeding amount, and postoperational fracture healing time were recorded.

RESULTS

All 18 patients with femoral shaft fracture successfully received closed reduction femoral nail with the application of the novel reduction brace. The follow-up period was 3-18 months, with an average of 12 months, and the femoral shaft fracture was well healed with good recovery of function.

CONCLUSIONS

The design of the closed reduction brace of the femoral shaft fracture was reasonable, simple, and convenient to use and has a short learning curve. Furthermore, it led to little trauma to these patients and fully played the advantages of minimally invasive therapy for femoral fractures.

摘要

目的

本研究旨在探讨新型股骨骨折闭合复位固定器在股骨骨干骨折闭合复位中的临床疗效。

方法

选择 2015 年 9 月至 2017 年 1 月山西医科大学第二医院骨科收治的 18 例股骨骨干骨折患者,采用骨科牵引台上的新型复位固定器结合闭合复位髓内钉插入进行固定,记录手术时间、出血量和术后骨折愈合时间。

结果

18 例股骨骨干骨折患者均成功应用新型复位固定器行闭合复位股骨交锁髓内钉固定。随访 3-18 个月,平均 12 个月,股骨骨干骨折愈合良好,功能恢复良好。

结论

股骨骨折闭合复位固定器的设计合理、简单、使用方便,学习曲线短。此外,它对患者的创伤较小,充分发挥了微创治疗股骨骨折的优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95c0/6532184/b237bd7db325/13018_2019_1145_Fig1_HTML.jpg

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