骨骼常用牵引部位观测与骨牵引锥钉研制及临床应用  

Anatomical observation on routine skeletal traction sites and its clinical application

作　　者：许建中[1,2,3] 吴爱群[1,2,3] 许振华[1,2,3] 弓延震[1,2,3] 王春丽 母心灵 

机构地区：[1]河南医科大学附属一院骨科 [2]河南医科大学解剖学教研室 [3]河南省郑州骨科医院

出　　处：《中国临床解剖学杂志》1998年第3期238-240,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：为研制和应用骨牵引锥钉，对成人四肢骨常用牵引部位行解剖学观测。方法：随机选择成人四肢骨标本，包括１００根尺骨、股骨、胫骨及１００个跟骨。观测其大体结构，测量其矢状径和额状径为：尺骨鹰嘴冠突部３１．７±２．３ｍｍ和２１．０±２．３ｍｍ，股骨粗隆最凸部３４．５±２．９ｍｍ和５４．４±３．８ｍｍ，股骨髁上２ｃｍ处２０．１±２．５２ｍｍ和４３．０±２．７ｍｍ，胫骨结节最凸处４１．４±３．５ｍｍ和３５．９±３．６ｍｍ，跟骨距下、后缘各２ｃｍ处额状径２６．２±２．３ｍｍ。结果：研制出长６２ｍｍ、５２ｍｍ和４２ｍｍ三种规格的骨牵引锥钉。临床应用证明其简单易行，效果可靠，未出现神经血管损伤及骨被拉豁等并发症。结论：研制及应用骨牵引锥钉。Objective:The routine skeletal traction sites were observed and measured to develop a traction conical screwMethods:The gross structure,sagittal diameters and frontal diameters were observed and measured on 100 ulna,femur,tibia and calcaneus specimensResults:Three kind of traction conical screw were developed with a length of 62 mm,52 mm and 42 mm separatelyIt has been proved to be easy to use in clinic,and no complication of nervous and vascular injury of bone broken by pulling was foundConclusions:It is necessary to measure the skeletal specimens to develop the traction conical screw

关 键 词：骨骼 应用解剖 骨牵引 锥钉 

分 类 号：R687.35[医药卫生—骨科学] R322.71[医药卫生—外科学]