ҽѧרҵ˶ʿⱨ

ʱ䣺2020-11-10 08:21:27 ҪͶ

ҽѧרҵ˶ʿⱨ

ⱨҪǶѡļֵѧԡԡԵ˼оıҪԺͿԡyjbysСΪѼҽѧרҵ˶ʿⱨ棬ϣܶ

ҽѧרҵ˶ʿⱨ

һѡݡĿĺ壺

۲ǹǿٴ֢֫Ƕ෢ֹǣɹǣŹǵȣ֫ǹ۲϶ԺֲLCPڹ̶ĹΪֲDzϾн϶ŵ㣺ȡļ򵥡֯ԺáֲųⷴӦյǿȣЩŵʹĹdzΪһѵֲǹģٴγɹʶ

ֲƹ۲ϵҪ֧빩ʵã˳еҪ׼ȷĸλֲֵǺͼǿĹ̶ΪﵽֲֵǣٽϣDz36°ֲǵķø˿LCPǿڹ̶3~1ڽã͹ָܻٴЧѡĿ̽֫ǹ۲ϵĽЧΪٴṩο

ԵʦٴΪݣͨԹ۲ƵĹ׽ϵͳɽҽҩѧҽԺǿƲ֫ǹ۲ϻߵõ鼰عԷݹǿѧص͵ʦƹ۲ϵĶٴᣬЧеϸ̽ͬʱҲϣͨԵʦٴʵоܽᣬΪٴṩһЩָ

ĿǰоĶ̬ˮƽ

ƹ۲ϣɷΪƺͷƣҪľֲӸĶ϶ڹ̶۲ӦֲЧţѾγɹʶֲƹDzҪֲǷʽٴֲǡؼ϶룬ĤСݶ۲λȡڹ̶еǶ϶˼ۣҧӲǣͨǻ۶ˣַλչȱȡǡֲԱǻԴֵĹǰǻ;ϸֲ˿̶ֲǿ;мĿ϶ȷʵﵽֲǵĿĺҪƤ-ʹֲǵ˹Ϲ̣ʵǾԣ죬޴ȾķգͬʱڹǴ͹յ

ڹ̶üԭԭְڹ̶ߣɸɽĸְ;ԭڹ̶ߣѡøְڹ̶;ԭȶ̸ְڹ̶ߣɸijɽϳĸְ塣вֲǡڹ̶ʯ̶ߣӦмúȥʯ࿪ʼؽ칦ܶٴҽʦӦþԴԸݹ鴦ԺʱϸҽעҽֱȫϡLCPְڹ̶֫ǹ۲ϣݶ̶ǿ鼰ֲǿ飬Զ϶ѹؼǽ۶˵۽֯ȫгǶӲȫҧ¶ʣͨǻֲĹǿι̵Ƕȱ϶ʹ.ӦȷָܶϸüָIJȷĸءڹ۲ϵƣֲЧȷУȫף죬Ӧù㷺ֵᳫ

оҪ

1.1Դ

оɼɽҽҩѧҽԺǿƲ

()ɼʱ

95~11

()ѡ

ϱ׼

(1)ʷȷʷۺ6ûϣûнһ3¡

(2)֢״߹۶˳ɽǡתλλ߽ڶԹȱ𡢳ʹܳءֲӦʹȡ

(3)ֲγɡŧٹؽγɻоֲ֯ۡȱ

(4)飺X֣߱ǶӲǻ;Ƕήɣмڽϴļ϶;ǶӲ໥Ϊƾʼٹؽڵʽеκһ־ͿԶΪ۲ϡ

벡׼

(1)ϱϱ׼;

(2)ƽʱ䳬ϣмٹؽγ;

(3)ƽʱ䳬ϣθXƬʾɼδ輫;

(4)Ƭʾ۶˹Ӳǻգɣ޹СγɣԵĹȱ;

(5)ٴйǵĸȾȱ𡢻Ρ֫岻ȳֲγɡŧȡ

ų׼

(1)ϱ׼

(2)صڿƼܹ

(3)񼲲

(4)ϲȫӰж

Ч۲췽

ԹDzϵӦϺ͹ָܻ˫ۣ

(1)۱׼۽ָ꣺ϡȾκ֫峤ȣйϱ׼ΪXʾģdzͨߣɶ̶쳣֫ʹߣ֫۴ȶС

۱׼

ţϣ޸Ⱦ϶˻<°˫֫岻ȳ

ϼ׼

ɣϼ׼һ

δϻٹۻϵ߱׼κһ

(2)۱׼

ܵ۷֫֫IJͬ֫Ҫԣ֫ҪΪߡ

ָ֫궨Ϊ;׻ϥκһؽڽӲ(ȫϥȫʱΧԲɥʧ15°)֯;ƻӰ˯ߵ'ʹڣɥʧ

ţڹָꡣ

ڹҾָһ

ɣڹָ

ɥʧǷָ߱ꡣ

֫۲“SeuHdlly֫۱׼”[3]

۲ָΪʹؽڻΧճ

ȼţ

ռ;

ϻܼݷ;

׫дġ;

ġɫԤȡõĽ

۲ӦֲЧѾγɹʶƹеľܽҪϵĽУҪչعԹϵͳˣ۲ϵٴϷԵΪҪ

ͨѼɽҽҩѧҽԺǿ91ڼĻٴϣֲƹ۲ϵٴоܽᡣӦͳƷֽǰطȽϣֲƹ۲ϵٴЧÿ͹ۡʵ׼ȷۣһָٴ

塢Է

ɽҽҩѧҽԺǿɽʡҽصѧơصңʡ֪ȽϸߣԴ㷺ʦϲҽʦٴ3꣬зḻٴ飬ƹ۲оٴȡõЧѼɽҽҩѧҽԺǿƽٴϣڵʦָ¶ЩһϽоܽᡣ

֫ǹ۲ڲ֢϶࣬ȽѣָܻƹУܽǷdzģҲǿеġҪоɽʡҽԺӦø˿36°ֲLCPڹ̶֫ǹ۲ϵЧѡϿԽǿоҲõѧУԺȸšҵĴ֧֡ſԲɿ⡣

Ҫο

[1] ͡𱦷ᣬӡʵùǿѧ[M] ҽ磬

[2] 讣ȹؽ[M]磬

[3] ĺʽ̶[EB/OL]̶о5

[4] Э˹ǿٴЧ۱׼[M]磬 5

[5] Byd HB, Lipinski SW, Wiley JH J Bne Jin Sug A, 1961; 43()159-168

[6] Audige L,Giffin D,Bhndi M,e l Ph nlysis f fs f delyed heling nd nnunin in 416 peively eed ibil shf fues [J]Ohp Rel Res, 5; 438:1~3

[7] Jes J MChy, Jhn HezenbegTibil Nnunins [J/OL] eMediine, Ap 9, 4

[8] ϲֱ־գֹǹ̶ֹеѧȽϺٴо[J]ؽ־;15 ( 5 ) 48 ~43

[9] 壬ŷԾƽDzٴоչ[J] ʹǿѧ־ ;8()11~119

[10] Hvey EJ,Henley MB,Sinksid MF,e l Iyuy,3; 34()111~116

[11] οɣŴţԽȳ̬ѹӦ¹ʱڹǻص㼰[J] ѧ־8;31(4)5~54

[12] ˻ڶֹǹ۲[J]ҽǣ;19()43~44

[13] 4̶ֹ˫۵ЧԱ[J]ִҽ־4;13( 1) 4~48

[14] Ȩ㣬ԪɽȽڶ϶Dzѧоٴ[J] й־3;11(3,4)~9

[15] Seeke W, Suge G, Kinzl L Ll pliins f in-edully niling[J]Ohpde,1996;5:4~91

[16] Fnullh, Muhd Shib Khn ,Syed Muhd AisEVALUATION OF MANAGEMENT OF TIBIAL NON-UNION DEFECT WITH ILIZAROV FIXATOR [J] Ayub Med Cll Abbbd, ; 19(3)

[17] Dvies R,Hl N,Nyg SThe e f pin sies ih exenl fixin[J]5;8:16~19

[18] ̶ٴӦеļ[J] лǿ־1996;16: 64

[19] 񵱽ǿƸȾصԲ[J]ؽ־1999;14: 139

[20] ĺ죬ʷ½ȸȾֹǹ۲ϵ̶[J]йؽ־;(8)691~69

[21] Sluzlek M,Gzdzik T S,M zek S e l Exenl fixin in heeen f sevee ibil fues plied by sf issue injuy [J] Op u1 Rehbil,4;6( 1) 13 ~11

[22] ½ԣӣΰֲֹ޸ȱʵо[J]лǿ־199;1: 33~36

[23] Lu WJ,L B,B NR, e l Chin JTul,6; 9(5)~5

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