股骨干骨折内固定治疗进展(2)
7.股骨干骨折内固定手术时机
急症手术:立即执行的手术①开放股骨干骨折;②伴有神经或血管损伤急于探查的;③手术条件允许的多发骨折;④肌间隔综合症。
限性手术:24-72小时内进行①开放骨折再清理;②急症期间因缺乏必要人力、物力,但仍需要早期切开复位的股骨干骨折。
择期手术:伤后3-4天至3-4周①病人全身或局部情况较差(皮肤溃烂);②伤情需要进一步影像学,化验学等检查,未能确定手术适应症;③伤情复杂,手术前需精心准备,而患者伤情也允许延迟者;④陈旧型骨折。
参考文献
[1]刘世清,郑望苟,王志林,等.肱骨下段骨折并发桡神经损伤22例临床分析.中国中医骨伤科杂志,1998,4:34.
, 百拇医药
[3]冯传汗,张铁良,等.临床骨科学(第二版).北京:人民卫生出版社,2004:812-820.
[3]Danald A Wiss,M.D.主编.骨折(第一版).沈阳:辽宁科学技术出版社,2005:63-93.
[4]Jinn lin,et al.Effectivencss of locked Nailling for Displaced Three-Part Proximal Humeral Fractures.The Journal of TRAUMA Injury,Infection,and Critical Care,2006,61:363-374.
[5]Adedapo AO,lkpeme JO.The results of intemal fixation of three and four-part proximal humeral fractures with the Polarus nail Injury,2001,32:115-121
, 百拇医药
[6]Robinson MC,Page RS.Severely impacted yalgus proximal hurmeral fractures.J Bone Joint Surg,2003,85A:1647-1655.
[7]Park MC,Murdu AM,Roth NS,et al.Two-part and three part fractures of the proximal humerus treated with suture fixation.J Orthon Tranma,2003,17:319-325.
[8]Park MC,Murthi AM,Roth NS,Blaine TA,Lovine WN,Bigliani Lu.Two-part and three-part fractures of the Proximal humerus treated with suture fixation.I Orthop Tranma,2003,17:319-325.
, 百拇医药
[9]Rajasekhar C,Ray PS,Bhamra MS.Fixation of proximal humeral froctnres with the Polarus nail.J shoulder Elbow Surg,2001,10:7-10.
[10]Wijgman AJ,Roolker W,Patt TW,Raaymakers EL,Marti PK.Open reduction and intemal fixation of three and four-part fractures of the proximal part of the humerus.J Bone Jomt Sung,2002,84A:1919-1925.
[11]赵文,李红芹,等.外固定架治疗复杂开放性骨折的应用技术探讨.中国矫形外科杂志,2005,13:1079-1081.
[12]黄山东,魏仲恩,尹庆水,等.逆行带锁髓内钉固定治疗肱骨骨折.中华创伤骨科杂志,2005,7:85-86.
, 百拇医药
[13]吉勇,徐东潭,等.逆行自锁髓内钉内固定治疗肱骨骨折.中华创伤骨科杂志,2006,8:493-494.
[14]李智,五臻,等.有限接触式带锁髓内钉的有限元分析及临床应用.中国矫形外科杂志,2006,14:1082-1085.
[15]赵宝成,马宝通,等.带锁髓内钉治疗526例长骨骨折疗效分析.中华骨科杂志,2005,25:136-142.
[16]孙林,刘兴华,等.带锁髓内钉治疗新鲜四肢长骨干骨折1224例疗效分析.中华骨科杂志,2005,25:129-134.
[17]张春才,许硕贵,王家林,等.上肢骨干天鹅型记忆接骨器的设计与临床应用.第二军医大学学报,2001,22:939-942.
[18]童良勇,阮狄克,等.镍钛形状记忆合金在四肢粉碎骨折治疗的应用.中国矫形外科杂志,2003,11:705., http://www.100md.com(闫 斌 伊力哈木.马木提)
急症手术:立即执行的手术①开放股骨干骨折;②伴有神经或血管损伤急于探查的;③手术条件允许的多发骨折;④肌间隔综合症。
限性手术:24-72小时内进行①开放骨折再清理;②急症期间因缺乏必要人力、物力,但仍需要早期切开复位的股骨干骨折。
择期手术:伤后3-4天至3-4周①病人全身或局部情况较差(皮肤溃烂);②伤情需要进一步影像学,化验学等检查,未能确定手术适应症;③伤情复杂,手术前需精心准备,而患者伤情也允许延迟者;④陈旧型骨折。
参考文献
[1]刘世清,郑望苟,王志林,等.肱骨下段骨折并发桡神经损伤22例临床分析.中国中医骨伤科杂志,1998,4:34.
, 百拇医药
[3]冯传汗,张铁良,等.临床骨科学(第二版).北京:人民卫生出版社,2004:812-820.
[3]Danald A Wiss,M.D.主编.骨折(第一版).沈阳:辽宁科学技术出版社,2005:63-93.
[4]Jinn lin,et al.Effectivencss of locked Nailling for Displaced Three-Part Proximal Humeral Fractures.The Journal of TRAUMA Injury,Infection,and Critical Care,2006,61:363-374.
[5]Adedapo AO,lkpeme JO.The results of intemal fixation of three and four-part proximal humeral fractures with the Polarus nail Injury,2001,32:115-121
, 百拇医药
[6]Robinson MC,Page RS.Severely impacted yalgus proximal hurmeral fractures.J Bone Joint Surg,2003,85A:1647-1655.
[7]Park MC,Murdu AM,Roth NS,et al.Two-part and three part fractures of the proximal humerus treated with suture fixation.J Orthon Tranma,2003,17:319-325.
[8]Park MC,Murthi AM,Roth NS,Blaine TA,Lovine WN,Bigliani Lu.Two-part and three-part fractures of the Proximal humerus treated with suture fixation.I Orthop Tranma,2003,17:319-325.
, 百拇医药
[9]Rajasekhar C,Ray PS,Bhamra MS.Fixation of proximal humeral froctnres with the Polarus nail.J shoulder Elbow Surg,2001,10:7-10.
[10]Wijgman AJ,Roolker W,Patt TW,Raaymakers EL,Marti PK.Open reduction and intemal fixation of three and four-part fractures of the proximal part of the humerus.J Bone Jomt Sung,2002,84A:1919-1925.
[11]赵文,李红芹,等.外固定架治疗复杂开放性骨折的应用技术探讨.中国矫形外科杂志,2005,13:1079-1081.
[12]黄山东,魏仲恩,尹庆水,等.逆行带锁髓内钉固定治疗肱骨骨折.中华创伤骨科杂志,2005,7:85-86.
, 百拇医药
[13]吉勇,徐东潭,等.逆行自锁髓内钉内固定治疗肱骨骨折.中华创伤骨科杂志,2006,8:493-494.
[14]李智,五臻,等.有限接触式带锁髓内钉的有限元分析及临床应用.中国矫形外科杂志,2006,14:1082-1085.
[15]赵宝成,马宝通,等.带锁髓内钉治疗526例长骨骨折疗效分析.中华骨科杂志,2005,25:136-142.
[16]孙林,刘兴华,等.带锁髓内钉治疗新鲜四肢长骨干骨折1224例疗效分析.中华骨科杂志,2005,25:129-134.
[17]张春才,许硕贵,王家林,等.上肢骨干天鹅型记忆接骨器的设计与临床应用.第二军医大学学报,2001,22:939-942.
[18]童良勇,阮狄克,等.镍钛形状记忆合金在四肢粉碎骨折治疗的应用.中国矫形外科杂志,2003,11:705., http://www.100md.com(闫 斌 伊力哈木.马木提)