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关节镜辅助下微创股骨内固定钢板取出 |
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【摘要】 目的 探讨关节镜技术在股骨内固定钢板取出术中的应用及疗效。方法 股骨干骨折钢板内固定术后患者13 例，其中男9 例，女4 例；平均年龄35 岁(16～57 岁)。在原切口上对应钢板一端行2～3 cm切口，在第2和第3个螺钉间、第4和第5个螺钉间等沿原切口切开约0.5 cm切口，关节镜监视下取出螺钉及钢板。结果 所有患者切口均一期愈合，无感染及神经、血管损伤等并发症。术后第2天下床活动，术后第4天出院。结论 关节镜辅助下股骨内固定钢板取出术是组织创伤小、安全可靠、操作简便、术后患者康复较快的手术方法。
【关键词】 关节镜 微创 股骨 钢板取出
ArthroscopyAssisted Minimally Invasive Removal of a Plate in the Shaft of Femur
WANG Xiaofeng，CHEN Baicheng，SHI Chenxia，et al
(Department of Joint Surgery，The Third Hospital of Hebei Medical University，Shijiazhuang 050051，China)
Abstract：Objective To explore the application of arthroscopyassisted removal of a plate in the shaft of femur.Methods There were thirteen patients with interval fixation for the fracture of femoral shaft.The patients were 16～57 years，averaged 35 years，and were composed of 9 men and 4 women.A approximately 2～3 cm skin incision was made distally or proximally on the old incision scar.And a 0.5 cm incision was made on the old incision between the 2nd screw and 3rd screw，4th screw and 5th screw，6th screw and 7th screw and so on.The screws and the plate were removed with arthroscopyassisted.Results All of the wounds were healing on Ⅰstage.There was no infectio[1] [2] [3] 下一页
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