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截骨矫形“∩”形钉内固定治疗关节畸形60例

Osteotomy correction and n-shaped nail internal fixation for joint deformities

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【作者】 王克军许永涛廖全明王志贵

【Author】 Wang Kejun, Xu Yongtao, LiaoQuanmin et al. Dept of Orthopaedics, Jinzhou hospital, Tongji medical University Jinzhou Hubei 434100

【机构】 荆州市中心医院骨科荆州市中心医院骨科 湖北 荆州 434100湖北 荆州 434100

【摘要】 目的探讨肘、膝关节内外翻畸形的治疗方式。方法对60例9~17岁关节内、外翻畸形患儿,其中肘关节42例,膝18例,采用肘外侧切口,膝内外侧切口,截骨矫形,1枚或2枚“∩”形钉内固定治疗,术后石膏托外固定4周。结果随访60例,随访时间6~24月,截骨均达到骨性愈合,无1例发生感染、内固定松动等并发症。临床疗效优56例(933%)良4例(6.7%)。结论用“∩”形钉作为截骨内固定材料,具有操作简单、损伤小、疗效好、价格低廉等优点。

【Abstract】 Objective To investigate the treatment of varus and valgus deformities of elbow and knee joint. Methods 60 cases of joint varus and valgus with the age of 9 ~ 17 years old were enrolled, which included 42 elbows and 18 knees. Osteotomy and n-shaped nail internal fixation were performed through lateral elbow approach and bilateral knee approach. The limbs were immobilized with plaster cast for 4 weeks postoperatively. Result 60 cases were followed up for 6-24months. All osteotomies got union. No infection or implant looseness was found. The clinical outcomes were excellent in 56 cases ( 93.3%) and good in 4 cases (6.7%) . Conclusion The osteotomy correction and n-shaped nail internal fixation require easy manipulation and minimal invasion , which provide satisfactory outcome.

【关键词】 “∩”形钉截骨内固定畸形
【Key words】 "∩"sign nailOsteotomyFixationAbnormality
  • 【文献出处】 生物骨科材料与临床研究 ,Orthopaedil Biomechanics Maternials and Clinical Study , 编辑部邮箱 ,2005年05期
  • 【分类号】R687.3
  • 【下载频次】13
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