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[外固定器用于骨骺固定。生物力学与临床研究]

[Epiphyseal fixation with an external fixator. Biomechanical and clinical study].

作者信息

Lortat-Jacob A, Mazel C, Frank A, Beaufils P, Lavaste F, Mekarnia M

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1984;70(3):207-17.

PMID:6234620
Abstract

Fifty one fractures of an epiphysis were treated by fixation using a new external fixator. The stability of the fixation was compared with that obtained by other types of fixator. The basis of the technique was the insertion of five pins into the epiphysis and of a series of pins in the diaphysis. Fixation between the epiphyseal and diaphyseal pins was achieved by three bars. The results obtained in 38 cases, half of them being at the proximal end of the tibia were analysed and were found to be encouraging. Only three had to be grafted secondarily. There was a low number of mal-unions. The main advantage of this method was to allow early mobilisation of the joint. The risk of sepsis did not give rise to concern provided that the rods do not cross the joint.

摘要

51例骨骺骨折采用新型外固定器固定治疗。将该固定的稳定性与其他类型固定器所获得的稳定性进行比较。该技术的基础是在骨骺中插入5根钢针以及在骨干中插入一系列钢针。骨骺钢针与骨干钢针之间通过三根连接杆实现固定。分析了38例患者的结果,其中一半为胫骨近端骨折,结果令人鼓舞。仅3例需要二期植骨。畸形愈合的数量较少。该方法的主要优点是允许关节早期活动。只要连接杆不穿过关节,感染风险就无需担忧。

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