焦点外单面骨融合术治疗胫骨骨折

A. Bukatov, Akhmetkali Dyussupov, S. Dzhumabekov, Olga Van, Aldyar Massalov, Meyram Zhandauletova
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摘要

下肢骨折不仅会导致暂时的残疾,还可能导致患者永久残疾。尽管有许多治疗方法,但目前还没有精确确定的技术。所有骨折治疗方法的要求都是微创和并发症最少。其中一种治疗胫骨骨折的方法是病灶外单面骨融合术。目的。目的探讨焦点外单面经骨内固定治疗胫骨骨折的疗效。材料和方法。本文首次报道了急诊医院多伤骨科采用单平面经骨内固定技术治疗胫骨骨折的98例患者的治疗结果。将患者分为两组,第一组的研究(GR)采用我们提出的方法,第二组的比较(GC)采用G.A. Ilizarov方法。结果和讨论。在GR组患者中,住院治疗时间减半,治疗阳性结果增加1.4倍,门诊治疗次数也明显减少。阴性治疗结果减少2.6倍,辐周炎症过程减少4.2%。结论。与传统的治疗方法相比,推荐的治疗方法效果最好。由于设备的简化版本和少量的组件,它是创伤较小,从而减少并发症的数量。关键词:骨折,局灶外植骨术,微创,带固定垫的编织针。
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Treatment of fractures of the shin bones with extrafocal uniplanar osteosynthesis
Fractures of the lower limb not only lead to temporary disability, they can also be the cause of a patient's permanent disability. Despite numerous treatment methods, there is currently no precise definite technique. The requirement for all fracture treatment methods is minimally invasive and minimal complications. One of such methods for treatment shin bone fractures is extrafocal uniplanar osteosynthesis. Purpose. To evaluate the effectiveness of the treatment of extrafocal uniplanar transosseous osteosynthesis in case of fractures of the shin bones. Material and methods. The results of the treatment of 98 patients with a shin bone fracture treated with the new technique, developed and tested by uniplanar transosseous osteosynthesis in the Emergency Hospital, Department of Polytrauma and Orthosurgery, are shown for the first time. Patients were divided into two groups, in the 1st group of the research (GR) we used the proposed technique, in the 2nd group of the comparison (GC) was used the G.A. Ilizarov method. Results and discussion. In group patients with GR, the duration of inpatient treatment was halved, the positive results of treatment increased by 1.4 times, and the terms of outpatient treatment were also significantly reduced. Negative treatment results were reduced by 2.6 times, peri-spoke inflammatory processes were reduced by 4.2%. Conclusion. The recommended treatment method, in contrast to the traditional one, showed the most positive result. Due to the simplified version of the apparatus and a small number of components, it is less traumatic thereby reducing the number of complications. Keywords: fractures, extra focal osteosynthesis, minimally invasive, knitting needles with persistent pads.
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