中西医结合治疗32例同侧股骨与胫骨干骨折

作者	单位
姜明轩	天津医院创伤骨科
马洪钧	天津医院创伤骨科
李汉民	天津医院创伤骨科
顾云五	天津医院创伤骨科
尚天裕	天津医院创伤骨科

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中文摘要:

本文报道采用中西医结合疗法(即骨牵引加手法复位、小夹板固定、早期功能锻炼)治疗同侧股骨与胫骨干骨折32例(33个肢体)。平均临床愈合时间,股骨为15.4周、胫骨为12.5周。优良率股骨为62.5%、胫骨为50%。主要合并症:不愈合胫骨1例;成角畸形股骨8例、胫骨7例;短缩畸形≤2cm 股骨3例、≤4cm 胫骨1例;踝关节强直1例;膝关节功能受限8例;死亡1例。

英文摘要:

32 eases of the ipsilateral fractures of femur and tibia were treated with TCM-WM,including skeletal traction,manipulative reduction,immobilization with Small splints and early functional exercise.The average time for the clinical union was 15.4 weeks and 12.5 weeks in femur and tibia respectively.The rate of good union was 62.5% and 50% respectively.The main complications were non-union of tibia in one case, angulation of femur and tibia in 8 and 7 cases respectively,femur shortening≤2 cm in 3 cases,tibia shortening≤4cm in one case,stiffness of ankle joint in one case and the limitation of knee joint in 8 cases. One patient died.

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