改良French内固定术治疗外伤性肘内翻的临床研究

论文摘要

目的:研究探讨改良French内固定术治疗肘内翻畸形的临床效果以及相关因素分析。方法:本研究共收集了38例资料较完整的肘内翻畸形患者随机分为三组,一组为改良French内固定方式,一组应用单纯交叉克氏针内固定,一组应用钢板内固定,对三组患者一般情况、术后半年肘关节伸屈功能和提携角恢复情况进行分析,并作统计学处理。结果:改良French内固定组(A组)在术后半年肘关节活动度和提携角的恢复等临床指征方面均优于单纯交叉克氏针组(B组)和钢板内固定组(C组)。结论:改良French内固定治疗肘内翻畸形效果理想,较其它治疗方式有操作简易、局部创伤小、治疗效果好、不需二次手术和少有并发症等多方面的优势

论文目录

引言

临床研究

1 一般资料

2 术前准备

2.1 常规准备

2.2 截骨测量准备

3 手术方法

3.1 手术入路

3.2 楔形截骨

3.3 矫形和内固定

3.4 缝合及外固定

3.5 术后处理

结果

讨论

1 解剖结构

1.1 骨性结构

1.2 软组织结构

2 肘内翻的形成机制

3 治疗

3.1 手术指征

3.2 截骨的年龄

3.3 术前放射学测量及截骨角度的设计

3.4 入路选择

3.5 手术方式的优势

3.6 术中注意事项

3.7 关于旋转移位的矫正

3.8 术后功能锻炼

3.9 并发症

3.10 改良French 内固定的生物力学优势和三种内固定方法的比较

结语

参考文献

综述

附录

致谢

山东中医药大学硕士学位论文详细摘要

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标签：肘内翻论文; 截骨矫形术论文; 改良论文; 临床研究论文;

改良French内固定术治疗外伤性肘内翻的临床研究

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