Small incision in the treatment of tibial oblique and spiral fractures
Common clinical variety of treatment methods. But simply the way the reduction and external fixation is often difficult to achieve satisfactory reduction and fixation, so that the treatment was delayed or failed, surgical open reduction and internal fixation, is far too complex and increase the traumatic twist intramedullary nail fixation. Since 1992, the hospital orthopedic uses a small incision and internal fixation with plaster immobilization and oral Chinese medicine treatment of tibial oblique and spiral fractures in 47 cases, with good results, are as follows: 1.1 General Information of the clinical data: 47 cases, 27 males and 20 females; the youngest 17 years old,
UGG outlet, maximum 66-year-old, average 38 years of age; ramp-shaped fracture of 27 cases, spiral-shaped fracture of 20 cases; tibia upper section fracture of 10 cases, middle of the 24 cases of, the following paragraph 13 cases. All cases are fresh closed fractures. With vascular and nerve injury. Treatment after the injury time of one hour to four days. 1.2 treatment: 47 patients with epidural anesthesia to the fracture site as the center for small incision about 6cm. To minimize periosteal stripping, look directly ordered the fracture segments with the appropriate length of the two screws fracture, screw direction is perpendicular with the long axis of the backbone. After surgery and to give the legs plaster external fixation, and switch to below-knee plaster external fixation up bone healing, you can remove the screws in the callus formation. Postoperative staging dialectical internal medicine, early plans to stasis to blood soup for the represented party. The mid-intended and to make a living new new injury Dipsacus soup for the represented party. Fracture late intends to liver and kidney tonic,
canada goose tilbud, stronger bones and muscles to the main square, kidney ZHUANGJIN soup. Two days after the exercise of function of the knee and ankle joints. About six weeks, callus formation after ambulation with crutches weight-bearing walking, walking to gradually help Abduction weight. Functional exercises to strengthen the knee and ankle joints after removal of plaster, combined with syndrome differentiation in Chinese Herbs and herbal fumigation. As the representative of the lower limb injury Washing side. 2 of 47 cases,
ralph lauren homme, both anatomic reduction after surgery with a minimum of six months of anti-time, up to 1.5 years. 47 patients 6-8 weeks of clinical healing ,10-14 weeks up to bone healing. No one cases of infection, malunion and nonunion, knee and ankle joint function returned to normal. 3 to discuss the oblique and spiral fractures of tibia, not blindly adopt the non-surgical therapy, shortening shift often occur because of fracture instability, periosteal stripping too 80 more than one large incision, will affect the fracture blood supply, and prone to skin necrosis, infection and other complications, and the tibia in the subcutaneous infections have serious consequences. Local small incision with limited internal fixation and plaster external fixation of the fracture of good reset, which can reach as little as possible damage to the stump blood supply, and simple operation, shorter hospital stay, the economic burden and less pain. During treatment, early exercise is conducive to the recovery of limb swelling and joint function, and can prevent muscle adhesions and joint stiffness. Stable internal and external fixation and early functional exercise, different periods of Chinese Herbs, so as to achieve the promotion of the purpose of early fracture healing. This is in the treatment of fractures of the characteristics of Chinese Traumatology, diagnosis and treatment for, and implementing the combining static and dynamic, both bones, and External, the treatment principles of patient cooperation, making as little as possible damage to local tissue, so that fracture reduction early functional exercise to promote the systemic blood circulation, increase metabolism, fracture healing and functional recovery go hand in hand, and ultimately reduce the incidence of complications, and achieved satisfactory results. Compared with plate fixation, screw fixation was not strong enough, which requires fixed to be reliable. Clinical treatment should pay attention to: (1) using the screws should be directed to pay attention to the backbone of the long axis vertical, not perpendicular to the fracture line, which is difficult to stabilize the fracture. Screw perpendicular to the long axis of the bone rather than fracture surface for best flexural properties of 2]. ② merger fibular shaft fracture after a reset of the tibia,
ralph lauren polo, the fibula is generally the appropriate reset, although the position somewhat less, but generally do not need to deal with. If combined with the lateral malleolus fracture, anatomic reduction. ③ limb basic swelling can be discharged from hospital discharge should be checked gypsum tightness, usually after about two weeks after the swelling subsided to be replacement of gypsum, in order to avoid the plaster loosening effect on the fracture blood supply, and requested time to referral, acceptance inspection and guidance, to avoid external fixation time is too short or too long and lead to fracture malunion, nonunion, or influence the exercise of joint function, to patients with mental anguish and economic losses as well as joint stiffness and disuse muscle atrophy.
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