可任意穿针固定及生理应力加压的骨外固定器研制及临床应用  

Study and clinical application of external fixator with casual pining fixation and biologic stress compression

作　　者：杨春雷[1] 朱登峰[1] 许峰[1] 李小双[1] 张畅[1] 高真国 柯继峰 王建军[1] 

机构地区：[1]武汉市黄陂区人民医院骨科,430300

出　　处：《中华创伤杂志》2003年第7期401-403,共3页Chinese Journal of Trauma

摘　　要：目的　解决目前外固定器普遍存在的如稳定性差、操作繁琐、应力遮挡大、扩展功能差等功能缺陷的问题。　方法　应用研制的骨外固定器对 10 2例四肢骨干骨折进行治疗观察。本组男 84例 ,女 18例 ;年龄 5～ 78岁。胫腓骨骨折 76例 ,股骨干 (儿童 )骨折 10例 ,股骨转子或转子下骨折 4例 ,尺骨或桡骨骨折 7例 ,肱骨干骨折 5例。　结果　所有患者经全程观察均取得良好疗效。其中 76例胫腓骨骨折随访 3个月～ 1年 ,骨折坚强愈合平均时间为 3.5个月 ,膝踝关节功能同步恢复优良率为 93.4 % ,无骨折端移位及再骨折出现。　结论　此种新型外固定器的结构、功能符合现代骨外固定技术应用要求。Objective To remedy the general defects of external fixator such as poor stability,complexed operation,strong stress shielding and bad extension function. Methods A total of 102 patients with limb shaft fracture were treated with the self-made external fixation and the curative effect observed. There were 84 males and 18 females aged at 5-78 years. Of all, 76 cases had tibial and fibular fractures, 10 femoral shaft fractures (children), 4 intertrochanteric or subtrochanteric fractures, 7 ulnar or radial fractures and 5 humeral shaft fractures. Results All patients got good results through a all-course observation, among which 76 cases with tibial and fibular fractures were followed up for 3 months to one year. Furthermore, the mean substantial bone healing time was only 3.5 months. The joint functions of the knee and the ankle recovered synchronously, with an overall excellence rate of 93.4%. No displacement of the fractured part or further fracture occurred. Conclusions The structure and function of the self-made external fixation accord with the demanding of current external fixator in orthopaedics.

关 键 词：穿针固定 生理应力加压 骨外固定器 研制 临床应用 胫腓骨骨折 股骨干骨折 

分 类 号：R687.4[医药卫生—骨科学]