男孩运动员单纯性胸骨骨折骨接合术的研究

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论证。目前,儿童胸部损伤患者的数量正在增加,约占和平时期所有损伤的12%。首先,这是由于不遵守各种安全措施,交通事故的数量增加。

临床观察。本文报告一个罕见的临床病例——一名9岁男孩诊断为胸骨骨折伴骨折碎片移位。在考虑的病例中,对骨折碎片进行开放复位,并进一步用涤纶线固定。

讨论。在胸骨骨折伴移位的治疗中,可以使用不同类型的骨接骨术:骨合术(用钢板和螺钉)、骨内合成术(用针、柔性钛棒合成骨)、经骨合成术(应用环扎或涤纶缝)、局外合成术(用外固定装置,原作者的设计)。所述方法执行简单,几乎所有为儿童提供援助的外科或创伤医院都可使用。

结论。在10-12岁以下儿童孤立性胸骨骨折中,接骨的变型之一是采用涤纶缝合线和开放复位骨折碎片。所述的植骨方法的一个重要优点是其低创伤和良好的美容效果。

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作者简介

Vasily P. Gavriluk

Kursk State Medical University

Email: wvas@mail.ru
ORCID iD: 0000-0003-4792-1862
SPIN 代码: 2730-4515
Scopus 作者 ID: 57219595437
Researcher ID: H-2186-2013

MD, PhD, Dr. Sci. (Med.), Associate Professor

俄罗斯联邦, Kursk

Stanislav V. Kostin

Kursk State Medical University

Email: drkostin@inbox.ru
ORCID iD: 0000-0003-0857-6437
SPIN 代码: 7242-5368

MD, PhD, Cand. Sci. (Med.), Associate Professor

俄罗斯联邦, Kursk

Dmitry A. Severinov

Kursk State Medical University

编辑信件的主要联系方式.
Email: dmitriy.severinov.93@mail.ru
ORCID iD: 0000-0003-4460-1353
SPIN 代码: 1966-0239
Scopus 作者 ID: 57192996740
Researcher ID: G-4584-2017

MD, PhD, Cand. Sci. (Med.)

俄罗斯联邦, Kursk

Lada O. Mashoshina

Kursk State Medical University

Email: lada-mashoshina@yandex.ru
ORCID iD: 0000-0002-4402-5723

4th year student

俄罗斯联邦, Kursk

参考

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补充文件

附件文件
动作
1. JATS XML
2. 图 1 胸部X光片:a——侧视图(箭头表示骨折位置); b——直接视图

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3. 图 2 诊断阶段患者胸部的三维重建:a——直接投影;b——侧向投影(箭头表示骨折位置)

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4. Fig. 3. Intraoperative photo: a, formation of canals in fragments; b, lavsan threads are inserted into the channels

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5. 图 4 患者照片:a——手术干预完成时的术后伤口;b——6个月后的术后伤口(正面图);c——侧视图,胸骨区域无畸形;d——术后一个月侧视图的对照胸片

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版权所有 © Gavriluk V., Kostin S., Severinov D., Mashoshina L., 2022

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