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小儿下肢软组织损伤伴长骨干骨折的治疗(附37例报告)
Management of Soft tissue Injuries to the Lower Limbs Associated with Long Bone Shaft Fracture in Children:Report of 37 Cases
【摘要】 目的:探讨小儿下肢软组织损伤伴长骨干骨折早期治疗对其预后的影响。方法:对37例本病进行回顾性分析。受伤部位,单侧29例,双侧8例。骨折部位,股骨22处,胫骨28处,腓骨24处。皮肤撕脱面积120~548cm2。早期主要采取原位网眼皮肤缝合和多种骨牵引治疗。结果:本组获随访32例,随访1~9年,其疗效根据下肢形态、关节功能恢复、行走有无跛行和疼痛及X线摄片检查进行评估。优28例,良2例,可和差各1例。结论:上述方法对早期治疗本病是简单有效的。
【Abstract】 Objective:To evaluate the relationship between early treatment and prognosis of soft tissue injuries to the lower limbs associated with long bone fracture in children.Method:37 patients admitted with lower extremity injuries from Oct.1988 to March 1997 were reviewed.22 were boys and 15 were girls.29 patients had single leg injurey and 8 had leg injury bilaterally.There were 22 fracture of femur,28 fracture of tibia and 24 fracture of fibula in 37 patients.Area of skin loss ranged from 120-548cm 2.Patients underwent skin autograph and several types of skeletal traction.Results:32 cases were follwed up for 1~9 years.They were assessed by X ray and clinical criteria of leg length,rational,angular,pain and limp;they were classified as excellent(25),good(3),fair(1)and poor(1).Conclusions:Skin autographing and skeletal traction is simple and effective for these patients.
- 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,1999年10期
- 【分类号】R726.8
- 【被引频次】1
- 【下载频次】19