张氏牵引复位器在下肢骨折微创治疗中的研究进展

Research Progress of Zhang’s Traction Reducer in Minimally Invasive Treatment of Lower Limb Fractures

摘要: 下肢骨折多为高能量损伤，多数需要手术治疗，如何有效复位骨折端及保护骨折周围软组织一直是创伤骨科医师关注的问题。传统的下肢骨折复位方式及工具主要包括手法复位、牵引床复位及股骨牵开器复位。随着医学技术的发展，微创、精准和早期康复成为现代创伤外科治疗的新方向。张英泽院士团队遵循顺势复位理念，结合传统牵引复位方式的优点，自主设计研发了张氏牵引复位器。该复位器可以最大限度保护骨折断端及周围软组织的生物学活性，减少医源性损伤，提高骨折愈合率。应用张氏牵引复位器微创治疗下肢骨折具有复位优良，并发症少，术后功能恢复优良率高等特点，近几年得到了迅速的普及和应用。

Abstract: Lower extremity fractures are mostly high-energy injuries, most of which require surgical treatment. How to effectively reduce the fracture end and protect the soft tissue around the fracture has always been a concern of orthopaedic trauma physicians. The traditional reduction methods and tools for lower limb fracture mainly include manual reduction, traction bed reduction and femoral retractor reduction. With the development of medical technology, minimally invasive, accurate and early rehabilitation has become a new direction of modern trauma surgery. Following the homeopathic reduction concept and combining the advantages of traditional traction reduction method, Academician Zhang Yingze’s team independently designed and developed Zhang’s traction reset device. The reductor can protect the physical activity of the fracture end and surrounding soft tissue to the maximum extent, reduce iatrogenic injury, and improve the fracture healing rate. The application of Zhang’s traction reductor in minimally invasive treatment of lower extremity fractures is characterized by excellent reduction, few complications and high rate of postoperative functional recovery, which has been rapidly popularized and applied in recent years.