[1]谢晓涛,周军杰,吕顺,等.髓内钉固定治疗胫骨干骨折的手术入路[J].中医正骨,2016,28(09):72-74.
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髓内钉固定治疗胫骨干骨折的手术入路()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年09期
页码:
72-74
栏目:
综 述
出版日期:
2016-09-20

文章信息/Info

作者:
谢晓涛周军杰吕顺高文武陈贤奇
上海中医药大学附属普陀医院,上海 200062
关键词:
胫骨骨折 骨折固定术髓内 髓内钉 手术入路 综述
摘要:
髓内钉固定具有微创、操作简单、固定强度高等优点,常用于治疗胫骨干骨折等长管状骨骨折。髓内钉固定治疗胫骨干骨折的手术入路目前主要有髌下入路和髌上入路两种。髌下入路具有创伤小、操作简单、患者容易接受等优点,临床应用较为广泛,但术后容易出现膝关节疼痛。髌上入路手术时间短,术后膝关节疼痛发生率低,骨折畸形愈合较为少见; 但置入保护套筒时容易损伤髌骨关节软骨,再加上手术费用较为昂贵,患者不容易接受,临床较少应用。临床应综合考虑患者的病情、身体状况和经济情况,并结合医生自身手术操作的熟练程度,选择合适的手术入路,从而实现疗效最大化、创伤及并发症最小化。

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备注/Memo

备注/Memo:
2016-06-12收稿 2016-07-04修回
周军杰 E-mail:boysroger@126.com

更新日期/Last Update: 1900-01-01