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[胫骨缺损的骨段转移术:单侧固定器和钢板技术]

[Bone segment transport for defects of the tibia : Technique with unilateral fixator and plate].

作者信息

Suda Arnold J

机构信息

AUVA Unfallkrankenhaus Salzburg, Dr. Franz-Rehrl-Platz 5, 5010, Salzburg, Österreich.

出版信息

Unfallchirurg. 2020 Sep;123(9):687-693. doi: 10.1007/s00113-020-00845-z.

Abstract

BACKGROUND

Various options are available for treatment of bone defects of the tibia. Bone segment transport is carried out relatively rarely because the surgical technique is not easy and there is a learning curve.

OBJECTIVE

This article gives an overview of the history, indications, planning and surgical technique of bone segment transport of the tibia.

MATERIAL AND METHODS

A technique using unilateral external fixation in combination with a locking plate osteosynthesis is described.

RESULTS

The technique and results are explained exemplified by a case report and in particular pitfalls during surgery and the aftercare concept are outlined.

CONCLUSION

Bone segment transport of the tibia using an external fixator and a locking plate is a reliable and practicable technique for treatment of bone defects of the tibia.

摘要

背景

胫骨骨缺损的治疗有多种选择。由于手术技术不易掌握且存在学习曲线,骨段转移术相对较少实施。

目的

本文概述胫骨骨段转移术的历史、适应证、规划及手术技术。

材料与方法

描述一种使用单侧外固定结合锁定钢板接骨术的技术。

结果

通过病例报告举例说明该技术及结果,特别概述了手术中的陷阱及术后护理理念。

结论

使用外固定器和锁定钢板的胫骨骨段转移术是治疗胫骨骨缺损的一种可靠且可行的技术。

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