ԵʦٴΪݣͨԹ۲ƵĹϵͳɽҽҩѧҽԺǿƲ֫ǹ۲ϻߵõ鼰عԷݹǿѧص͵ʦƹ۲ϵĶٴᣬЧеϸ̽ͬʱҲϣͨԵʦٴʵоܽᣬΪٴṩһЩָݣ뿴ġ
һѡݡĿĺ壺
۲ǹǿٴ֢֫ǶֹǣɹǣŹǵȣ֫ǹ۲϶ԺֲLCPڹ̶ĹΪֲDzϾн϶ŵ㣺ȡļ֯ԺáֲųⷴӦյǿȣЩŵʹĹdzΪһѵֲǹģٴγɹʶ
ֲƹ۲ϵҪ֧빩ʵã˳еҪȷĸλֲֵǺͼǿĹ̶ΪﵽֲֵǣٽϣDz36°ֲǵķø˿LCPǿڹ̶3~1ڽãָܻٴЧѡĿ̽֫ǹ۲ϵĽЧΪٴṩο
ԵʦٴΪݣͨԹ۲ƵĹϵͳɽҽҩѧҽԺǿƲ֫ǹ۲ϻߵõ鼰عԷݹǿѧص͵ʦƹ۲ϵĶٴᣬЧеϸ̽ͬʱҲϣͨԵʦٴʵоܽᣬΪٴṩһЩָ
ĿǰоĶ̬ˮƽ
ƹ۲ϣɷΪƺͷƣҪľֲӸĶ϶ڹ̶۲ӦֲЧţѾγɹʶֲƹDzҪֲǷʽٴֲǡؼ϶룬ĤСݶ۲λȡڹ̶еǶ϶˼ۣҧӲǣͨǻ۶ˣַλչȱȡǡֲԱǻԴֵĹǰǻ;ϸֲ˿̶ֲǿ;мĿ϶ȷʵﵽֲǵĿĺҪƤ-ʹֲǵ˹Ϲ̣ʵǾԣ죬ȾķգͬʱڹǴյ
ڹ̶üԭԭְڹ̶ߣɸɽĸְ;ԭڹ̶ߣѡøְڹ̶;ԭȶ̸ְڹ̶ߣɸijɽϳĸְ塣вֲǡڹ̶ʯ̶ߣӦмúȥʯʼؽ칦ܶٴҽʦӦþԴԸݹ鴦ԺʱϸҽעҽֱȫϡLCPְڹ̶֫ǹ۲ϣݶ̶ǿ鼰ֲǿ飬Զ϶ѹؼǽ۶˵۽֯ȫгǶӲȫҧ¶ʣͨǻֲĹǿι̵Ƕȱ϶ʹ.ӦȷָܶϸüָIJȷĸءڹ۲ϵƣֲЧȷУȫף죬Ӧù㷺ֵᳫ
оҪ
1ٴ
1.1Դ
оɼɽҽҩѧҽԺǿƲ
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95~11
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(1)ʷȷʷۺ6ûϣûнһ3¡
(2)֢״߹۶˳ɽǡתλλ߽ڶԹȱ𡢳ʹܳءֲӦʹȡ
(3)ֲγɡŧٹؽγɻоֲ֯ۡȱ
(4)飺X֣߱ǶӲǻ;Ƕήɣмڽϴļ϶;ǶӲΪƾʼٹؽڵʽеκһ־ͿԶΪ۲ϡ
벡
(1)ϱϱ;
(2)ƽʱ䳬ϣмٹؽγ;
(3)ƽʱ䳬ϣθXƬʾɼδ輫;
(4)Ƭʾ۶˹ӲǻգɣСγɣԵĹȱ;
(5)ٴйǵĸȾȱ𡢻Ρ֫岻ȳֲγɡŧȡ
ų
(1)ϱ
(2)صڿƼܹ
(3)
(4)ϲȫӰж
Ч۲췽
ԹDzϵӦϺָܻ˫ۣ
(1)۱۽ָ꣺ϡȾκ֫峤ȣйϱΪXʾģdzͨߣɶ̶쳣֫ʹߣ֫۴ȶС
۱
ţϣȾ϶˻<°˫֫岻ȳ
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δϻٹۻϵ߱κһ
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ܵ۷֫֫IJͬ֫Ҫԣ֫ҪΪߡ
ָ֫궨Ϊ;ϥκһؽڽӲ(ȫϥȫʱΧԲɥʧ15°)֯;ƻӰ˯ߵʹڣɥʧ
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ڹҾָһɣڹָ
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۲ָΪʹؽڻΧճ
ȼţ
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дġ;
ġɫԤȡõĽ
۲ӦֲЧѾγɹʶƹеľܽҪϵĽУҪչعԹϵͳˣ۲ϵٴϷԵΪҪ
ͨѼɽҽҩѧҽԺǿ91ڼĻٴϣֲƹ۲ϵٴоܽᡣӦͳƷֽǰطȽϣֲƹ۲ϵٴЧÿۡʵȷۣһָٴ
塢Է
ɽҽҩѧҽԺǿɽʡҽصѧơصңʡ֪ȽϸߣԴ㷺ʦϲҽʦٴ3꣬зḻٴ飬ƹ۲оٴȡõЧѼɽҽҩѧҽԺǿƽٴϣڵʦָ¶ЩһϽоܽᡣ
֫ǹ۲ڲ֢϶࣬ȽѣָܻƹУܽǷdzģҲǿеġҪоɽʡҽԺӦø˿36°ֲLCPڹ̶֫ǹ۲ϵЧѡϿԽǿоҲõѧУԺȸšҵĴ֧֡ſԲɿ⡣
Ҫο
[1] ͡𱦷ᣬӡʵùǿѧ[M] ҽ磬
[2] 讣ȹؽ[M]磬
[3] ĺʽ̶[EB/OL]̶о5
[4] Э˹ǿٴЧ۱[M]磬 5
[5] Byd HB, Lipinski SW, Wiley JH J Bne Jin Sug A, 1961; 43()159-168
[6] Audige L,Giffin D,Bhndi M,e l Ph nlysis f fs f delyed heling nd nnunin in 416 peively eed ibil shf fues [J]Ohp Rel Res, 5; 438:1~3
[7] Jes J MChy, Jhn HezenbegTibil Nnunins [J/OL] eMediine, Ap 9, 4
[8] ϲֱ־գֹǹ̶ֹеѧȽϺٴо[J]ؽ־;15 ( 5 ) 48 ~43
[9] 壬ŷԾƽDzٴоչ[J] ʹǿѧ־ ;8()11~119
[10] Hvey EJ,Henley MB,Sinksid MF,e l Iyuy,3; 34()111~116
[11] οɣŴţԽȳ̬ѹӦ¹ʱڹǻص㼰[J] ѧ־8;31(4)5~54
[12] ˻ڶֹǹ۲[J]ҽǣ;19()43~44
[13] 4̶ֹ˫۵ЧԱ[J]ִҽ־4;13( 1) 4~48
[14] Ȩ㣬ԪɽȽڶ϶Dzѧоٴ[J] й־3;11(3,4)~9
[15] Seeke W, Suge G, Kinzl L Ll pliins f in-edully niling[J]Ohpde,1996;5:4~91
[16] Fnullh, Muhd Shib Khn ,Syed Muhd AisEVALUATION OF MANAGEMENT OF TIBIAL NON-UNION DEFECT WITH ILIZAROV FIXATOR [J] Ayub Med Cll Abbbd, ; 19(3)
[17] Dvies R,Hl N,Nyg SThe e f pin sies ih exenl fixin[J]5;8:16~19
[18] ̶ٴӦеļ[J] лǿ־1996;16: 64
[19] ǿƸȾصԲ[J]ؽ־1999;14: 139
[20] ĺ죬ʷ½ȸȾֹǹ۲ϵ̶[J]йؽ־;(8)691~69
[21] Sluzlek M,Gzdzik T S,M zek S e l Exenl fixin in heeen f sevee ibil fues plied by sf issue injuy [J] Op u1 Rehbil,4;6( 1) 13 ~11
[22] ½ԣӣΰֲֹȱʵо[J]лǿ־199;1: 33~36
[23] Lu WJ,L B,B NR, e l Chin JTul,6; 9(5)~5