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用外部固定进行分阶段治疗,用于第一个甲足骨的碎裂:一个案例报告

Ryogo Furuhata¹, Yusuke Shiba¹, Atsushi Tanji¹

¹Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi 326-0843, Japan.

Journal of surgical case reports

|November 13, 2025

概括

这项研究突出了严重的第一足骨折的分阶段治疗方法. 外部固定最初稳定骨,允许软组织在最终的内部固定之前愈合,改善结果.

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
脚和脚手术脚和脚手术

背景情况:

带有严重软组织损伤的高能量的中脚骨折,由于有限的组织和胀,对即时的骨质合成构成挑战.
一个被削减的第一个甲足骨折与缩短和受损的皮肤需要谨慎的管理策略.

研究的目的:

介绍一个用分阶段方法管理与皮肤状况不佳的首次甲足骨折的案例研究.
评估外部固定在稳定严重的足部骨折与受损的软组织的有效性.

主要方法:

一名52岁的男性患者患有第一个足骨折,经历了两阶段的手术治疗.
第1阶段涉及应用外部固定器来纠正中足缩短.
第二阶段包括在4周后使用第一个中足和中间形字之间的融合板进行内部固定.

主要成果:

外部固定器成功地纠正了中足的缩短.
患者在治疗后实现了骨结合和令人满意的功能结果.
阶段性方法促进了延迟的最终固定,从而改善了组织状况.

结论:

外部固定是一种可行的策略,用于管理具有显著软组织损害的严重第一个甲足骨折.
使用外部固定的分阶段方法可以通过允许组织愈合来提高随后内部固定的稳定性.
这种方法在复杂的足骨折病例中改善了功能结果.

关键词:

案例报告案例报告外部固定装置外部固定装置第一个足骨折的骨折.盘子盘子盘子盘子阶段性治疗是分阶段进行的.

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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...