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1.
China Journal of Orthopaedics and Traumatology ; (12): 822-823, 2009.
Artigo em Chinês | WPRIM | ID: wpr-361063

RESUMO

<p><b>OBJECTIVE</b>To evaluate the surgical effects of treatment of scaphoid fracture with retrograde internal fixation using absorbable screw.</p><p><b>METHODS</b>From December 2001 to December 2007, 18 cases of scaphoid fracture were treated with absorbable screw by retrograde internal fixation. There were 12 males and 6 females with an average age of 26 years ranging from 17 to 40 years. Ten cases were medium fractures of scaphoid and 8 cases were proximal fraxtures.</p><p><b>RESULTS</b>All patients were followed-up for from 12 to 36 months (means 25 months). Among them, 17 cases were union and 1 case was nonunion. The mean time of union was 13 weeks. The mean range of motion of wrist was about 90% and mean scratch strength of wrist was about 95% to fine lateral. There were no pain in 14 cases, and slight pain in 3, medial pain in 1 casea of ununion. According to Cooney's clinical evaluation system, the score was increased from (68.2 +/- 1.5) before operation to (88.7 +/- 1.2) after operation, the postoperative score was higher than preoperative remarkable; 9 patients were fine, 8 were good and 1 was bad.</p><p><b>CONCLUSION</b>This technology had some advantage such as simple surgery, decreasing demonstrate rest blood circulation, stable fixation, reducing bone healing time and increasing healing time. It is an effective way to treat scaphoid fracture.</p>


Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Adulto Jovem , Absorção , Parafusos Ósseos , Seguimentos , Fixação Interna de Fraturas , Fraturas Ósseas , Diagnóstico por Imagem , Cirurgia Geral , Terapêutica , Osso Escafoide , Ferimentos e Lesões , Tomografia Computadorizada por Raios X , Resultado do Tratamento
2.
Chinese Journal of Traumatology ; (6): 58-61, 2008.
Artigo em Inglês | WPRIM | ID: wpr-236732

RESUMO

Comminuted fracture of distal femur is a common lower limb injury from traffic accidents, especially from motor accidents. Routine dynamic condylar screw (DCS) or 95-degree condylar plate (CP) sometimes cannot solve the bone defect in the center of alignment and contralateral diaphysis for the reason of absent screw anchor point, especially for AO C2.2-2.3 types. Many authors recommended open reduction and fixation with less invasive stabilization system (LISS) as the treatment of choice, but there are still problems in fusion and alignment. In this study, we reported our experiences with the use of bone splint technique in the high-energy commimuted fracture of distal femur with central and medial bone defect in adolescents.


Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Placas Ósseas , Fraturas do Fêmur , Cirurgia Geral , Fixação Interna de Fraturas , Métodos , Fraturas Cominutivas , Cirurgia Geral , Contenções
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