股骨单髁骨折微创外科术中应用单臂外固定架复位的效果观察临床医学.docVIP

股骨单髁骨折微创外科术中应用单臂外固定架复位的效果观察临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：股骨单髁骨折微创外科术中应用单臂外固定架复位的效果观察临床医学 1 1 一般资料 3 2 治疗方法 3 1 关于手术方法 5 2 手术操作体会 5 3 关于评价方法及其不足 6 文2：芦荟胶预防放射性皮炎的效果观察临床医学 6 1 资料和方法 6 2 结果 8 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 股骨单髁骨折微创外科术中应用单臂外固定架复位的效果观察临床医学 文1：股骨单髁骨折微创外科术中应用单臂外固定架复位的效果观察临床医学 Abstract: Objective To evaluate the effect of a microinvasive surgery therapy(MST) for the femoral single condyle fracture(FSCF).Methods The microinvasive group coisted of 68 patients with the FSCF who received the MST from to in our patients were operated with MST as follows: one little incision was the blunt dissociation from the incision to the joint capsule was the exposure of the joint capsule,2 fixation screw needles(FSN) of exfixation frame were fixed tightly into the broken condyle under the Xray the reposition of the broken condyle was ,the internal fixation was performed with compression cavity was lavaged both before reposition and after fixation without draining after 67 cases of the microinvasive group had been followed up for 7 months to the effect of MST for the FSCF was analyzed compared with nonmicroinvasive group in which patients were treated with the anatomical reduction and intrafixation before In accordance with the clinical standard and Xray standard,the excellent rates of the microinvasive group were 100% and % respectively,while the excellent rates of the nonmicroinvasive group were %(clinical) and %(Xray) were significant differences between the two groups(P,P).Conclusion This study suggests that the MST for the FSCF have the advantages of little trauma,less adhesion between internal and external articular cavity,and early recovery. Key words:femoral fracture;microinvasive surgery;external fixation 基层 医院 治疗股骨单髁骨折多采用膝关节切开内固定术及单纯石膏外固定术。关节腔内、外黏连以及创伤性关节炎是其膝关节功能恢复欠佳的主要原因[1]。鉴于此，作者探索应用微创法对断髁闭合复位和内固定治疗，并通过与膝关节切开复位内固定的疗效进行对比，对微创外科治疗作一分析和评价。 临床资料 1 一般资料 本组(微创组)股骨单髁闭合性骨折68例，为2001年2月