治疗胫骨轴骨折的联合骨合成术

Q3 Medicine
K. A. Klyshnikov, N. V. Sazonova, A. Popkov
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引用次数: 0

摘要

引言 髓内和髓外植入物以及外固定装置的广泛使用表明,目前的手术方法并不总是成功的。该研究旨在评估在长骨骨折治疗中结合使用弹性钛羟基磷灰石涂层棒(HA-rods)进行经骨骨结合髓内加固的效率。材料和方法 分析了 40 名年龄在 18 至 55 岁之间的 A1-A3 型(AO/ASIF)闭合性胫骨干骺端骨折患者的病历,这些患者均接受过 Ilizarov 经骨骨结合法和髓内弹性 HA 涂层棒的治疗。结果 伊利扎洛夫固定器平均在术后 45.3 ± 14.7 天拆除。讨论 Со外固定器与髓内弹性医管局涂层钢丝的结合克服了外固定和内固定的缺点。外固定具有 Ilizarov 方法的优点:保留血液供应、无软组织损伤、关节功能和早期负重。结论 联合骨合成术的优势在于缩短了 Ilizarov 装置的固定时间,减少了骨架组件中钢丝和半针的数量,促进了骨胼胝的形成,防止了继发性骨碎片移位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined osteosynthesis for tibial shaft fracture treatment
Introduction Widespread use of intramedullary and extramedullary implants, as well as external fixation devices, has demonstrated that current surgical methods are not always successful.The study aimed to assess the efficiency of a combination of transosseous osteosynthesis with intramedullary reinforcement using elastic titanium hydroxyapatite-coated rods (HA-rods) in long bone fracture treatment.Material and methods Medical records of 40 patients aged from 18 to 55 years with closed diaphyseal tibia fractures of A1-A3 type (AO/ASIF) treated with the Ilizarov transosseous osteosynthesis method combined with intramedullary elastic HA-coated wires were analysed. Result Ilizarov fixator removal was performed on average 45.3 ± 14.7 days after surgery. Radiological signs of bone union (immature callus, patterns of periosteal and endosteal stratifications overlapping the fracture line) were visible by week 3 to 4.Discussion Соmbination of the external fixator and intramedullary elastic HA-coated wires overcomes shortcomings of both external and internal means of fixation. External osteosynthesis provides advantages of the Ilizarov method: preservation of blood supply, absence of soft tissue injury, joint function and early weightbearing. Elastic intramedullary wires do not injure a. nutricia and mechanically stimulate endosteal and periosteal bone formation.Conclusion The advantages of combined osteosynthesis provide reduction of Ilizarov apparatus fixation time, reduction in the number of wires and half-pins in the frame assembly, stimulation of bone callus formation and prevention of secondary bone fragment displacement.
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来源期刊
Genij Ortopedii
Genij Ortopedii Medicine-Surgery
CiteScore
0.70
自引率
0.00%
发文量
104
审稿时长
12 weeks
期刊介绍: Journal’s main goal is to contribute to the development of the contemporary medical science via presentation of fundamental and applied original scientific studies to the scientific and practical medical community that would widen and deepen the understanding of the most important problems in the field of traumatology, orthopaedics, and related specialties. Our journal provides a direct open access to its content which is based on the principle that the open access option promotes global exchange of knowledge and experience. Journal’s strategy: -Development of the journal as a scientific platform for researchers, doctors, post-graduates and residents -Attraction of highly-cited authors to publish their studies -Selection of manuscripts of scientific interest for readers that will impact on journal citation index in RINC -Increase in the portion of publications submitted by foreign authors and studies conducted in association with foreign scientists; growth of citations in the journals that are included into global systems of indexing and reputable databases -Improvement of the Journal’s web site in two languages for a greater accessibility by authors and readers -Introduction of the Journal into global indexing systems
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