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股骨髁部骨折合并中重度颅脑损伤患者手术时机的制定(3)
http://www.100md.com 2014年2月1日 陈振强等
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     总之 ,对股骨髁骨折合并重型颅脑损伤患者,在病情允许的情况下,对骨折应尽早(伤后14d)手术治疗,此时复位及固定容易,解剖复位率高,创伤小,可最大限度减少肢体畸形和全身并发症的发生,降低病死率,且便于早期功能恢复锻炼。

    参考文献

    [1] Cadosch D,Gautschi OP,etal. Humoral factors enhance fracture-healing and callus formation in patients with traumatic brain injury[J].J Bone Joint Surg Am,2009,91(2):282-288.

    [2] Giannoudis PV,Mushtaq S, etal. Accelerated bone healing and excessive callus formation in patients with femoral fracture and head injury[J].Injury,2006,37(Suppl3):18-24.

    [3] Flierl MA, Stoneback JW, Beauchamp KM,etal. Femur shaft fracture fixation in head-injured patients: when is the right time?[J].J Orthop Trauma,2010,24(2):107-14.

    [4] Shelbourne KD,Brueckmann F. Rush pin fixation of the supracondylar and intercondylar fractures of the femur[J]. J Bone Joint Surg,1982,64:161.

    [5] Pape HC, Gannoudis P, Krettek, C. The timing of fracture treatment in polytrauma patients: relevance damage control orthopedics surgery[J]. Am J Surg,2002,183:622-629.

    [6] Morshed S,Miclau TR,Bembom O,etal. Delayed internal fixation of femoral shaft fracture reduces mortality among patients with multisystem trauma,2009(91):3-13.

    [7] Pape HC,van Griensven M,Rice J,etal. Major secondary surgery in blunt trauma patients and perioperative cytokine liberation: determination of the clinical relevance of biochemical marks[J].J Trauma,2001,50:989-1000.

    [8] 薛庆澄.神经外科学[M].第1版.天津:天津科学技术出版社,1990:165.

    [9] Perkings R,Skirving AP. Callus formation and the rate of femormal fractures in patients with head injuries[J].J Bone Joint surg (Br),1987,69(4):521.

    

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