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通过内钉和切片骨折术成功纠正下肢恶性损伤:一个案例系列

Ryota Nishida¹, Tomoaki Fukui¹, Takahiro Niikura²

¹Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

The American journal of case reports

|June 6, 2025

概括

切割纠正性骨切除术 (CCO) 通过内钉钉有效地纠正下肢缺陷. 这种单阶段手术为角形和旋转形提供了经济有效的解决方案,改善了患者的移动性并减少了疼痛.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
生物机械工程生物机械工程

背景情况:

下肢骨折不良结合会导致明显的角形变形和疼痛.
手术纠正通常是必要的,以恢复四肢对齐和功能.
正在探索新的技术,以改善复杂骨折病例的结果.

研究的目的:

描述切割整形骨切除术 (CCO) 与内指甲稳定结合的应用和结果.
评估这种综合方法在纠正创伤后下肢损伤后的疗效.
介绍一系列案例,展示这种手术技术的临床结果.

主要方法:

一系列病例涉及三个患有创伤后下肢不良结合 (骨和股骨) 的患者.
使用切割纠正骨切割 (CCO) 的手术纠正,在角度旋转中心使用切割技术.
单阶段内部固定使用内指甲稳定.

主要成果:

在这三种情况下,成功纠正了角度和旋转变形.
在手术后4至11个月内实现骨结合.
在米库利茨线测量显著改善,表明恢复了四肢对齐.
解决膝盖疼痛和恢复日常活动,包括慢跑.

结论:

结合CCO和内指甲稳定是一种可行的,有效的治疗创伤后下肢失联.
单阶段手术方法在骨愈合和成本效益方面具有优势.
这种技术为纠正复杂的长骨骨折提供了一个有希望的选择.

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