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Locking nail internal fixation has advantage to the treatment of floating fracture and reduce soft tissue injury in operation , It is good to prevent fractureseparation and rotation displacement,early ambulant and easy to nursing care.
差1例。结论:交锁髓内针内固定治疗浮膝有利于减少术中软组织损伤,有防止骨折分离和旋转移位的作用,术后可早期活动,便于护理。
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Objective To evaluate the clinical effect of interlocking intramedullary nailing for treatment of postoperative nonunion of ulnar fracture.
目的 评估交锁髓内钉内固定术治疗尺骨骨折术后骨不连的临床疗效。
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Methods The clinical characteristics of 26 cases of cervicothoracic spine and spinal cord trauma were analyzed, which were performed with anterior subtotal vertebraectomy at C7, T1, C(subscript 6~7) or C7~T1 segment, bone graft and Orion anterior cervical locking plate fixation in cervicothoracic spine.
分析26例颈胸段脊柱骨折、脱位患者的临床表现;行颈胸段前路C7、T1、C(下标 6~7)或C7~T1椎体次全切除、植骨及Orion锁定型颈椎前路钢板固定术。
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AIM: The incidence of malrotation after femoral shaft fracture treated with close reduction and interlocking intramedullary nailing is high. To judge the degree of rotational deformity in fracture of shaft of femur by C-arm X-ray machine is necessary in the repair of tissue construction.
目的:采用闭合复位带锁髓内针置入固定治疗股骨干骨折,术中常出现远端旋转畸形,利用C形臂X射线机并以健侧NH角(股骨头-颈轴线与水平台面的夹角)作为参照物,判断骨折端旋转移位程度是组织构建修复过程中必须解决的应用技术。
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Of the femoral fracture,there were 14 cases of fractures of shafts of femurs and 1 case of supracondylar fracture of femur;11 male, 4 female;7 left cases,8 right cases;1 case complicated with bending of bone plate and screw,6 cases with breakages of plate;1 case with bending of common intramedullary nail,2 cases with breakages of common intramedullary nails,1 case of screw and wire lock fixation complicated with pseudoarticulation formation,4 cases with nonunion of fracture.
方法]24例长骨骨折内固定手术失败应用有限切开交锁髓内钉治疗的长骨骨折翻修术病例中,股骨15例,其中股骨干骨折14例,股骨髁上骨折1例;男11例,女4例;左侧7例,右侧8例;接骨板螺丝钉折弯1例,断裂6例,普通髓内钉折弯1例,折断2例,螺钉并钢丝固定假关节形成1例,骨折不愈合4例。
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Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.This method characterized by little wound,fixation firmly and moving the joint early is a effective method to cure distal collar bone fracture and acromioclavicular dislocation.
锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力,可以避免内固定物体的松动脱出,由于术中不损伤肩锁关节面,能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎,该方法创伤小、固定牢固,能早期活动肩关节,是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。
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The patients can get painless free-running.Conclusion Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.This method characterized by little wound,fixation firmly and moving the joint early is a effective method to cure distal collar bone fracture and acromioclavicular dislocation.
锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力,可以避免内固定物体的松动脱出,由于术中不损伤肩锁关节面,能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎,该方法创伤小、固定牢固,能早期活动肩关节,是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。
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The patients can get painless free-running.Conclusion Collar-bone hook nickelclad utilizes the lever principle and the intensity of nickelclad itself to oppose the traction force of sternomastoid muscle and avoid prolapse.As not damaging the acromioclavicular facet,it can avoid and reduce the traumatic arthritis caused by devices such as Kirschner wire ect.
锁骨钩钢板利用杠杆原理和钢板自身的强度对抗胸锁乳突肌的牵引力,可以避免内固定物体的松动脱出,由于术中不损伤肩锁关节面,能够避免或减少克氏针固定等经关节手术所造成的继发性创伤骨关节炎,该方法创伤小、固定牢固,能早期活动肩关节,是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。
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It can provide a stable and reliable fixation which is of benefit for early functional exercise. Bone grafting, closed reaming technique and knee joint adhesion release should be considered in order to enhance the bone healing and the improvement of knee ROM and function. Femoral fractures; Fracture fixation, intramedullary; Fractures, ununited
使用逆行交锁髓内钉治疗股骨远端骨折不愈合及延迟愈合具有固定可靠,便于膝关节早期功能锻炼等优点,但应联合行骨移植、闭合扩髓及膝关节粘连松解术,以促进骨折愈合,改善膝关节活动度和功能。
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Interlocking intramedullary nailing,Diaphyses,Blood supply,Fracture fixation,intramedullary
中文关键词:交锁髓内钉;骨干;血供;骨折固定术,髓内