{"id":50148,"date":"2025-04-13T05:10:34","date_gmt":"2025-04-13T05:10:34","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=50148"},"modified":"2025-04-13T05:10:34","modified_gmt":"2025-04-13T05:10:34","slug":"%e5%bc%a0-%e4%be%af%e6%b0%8f%e9%aa%a8%e6%8a%98%e4%b8%a8z-h-fracture%e4%b8%a8%e8%83%ab%e9%aa%a8%e4%b8%8b-1-3%e8%9e%ba%e6%97%8b%e5%bd%a2%e9%aa%a8%e6%8a%98%e5%90%88%e5%b9%b6%e5%90%8e%e8%b8%9d%e9%aa%a8","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=50148","title":{"rendered":"\u5f20-\u4faf\u6c0f\u9aa8\u6298\u4e28Z-H fracture\u4e28\u80eb\u9aa8\u4e0b 1\/3\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298"},"content":{"rendered":"<p>Z-H fracture\uff08\u597d\u5947\u602a\u7684\u540d\u5b57\uff0c\u6307\u7684\u662f\u5565\u9aa8\u6298\u554a\uff1f\uff09<\/p>\n<p>\u5148\u770b\u4e00\u7ec4\u9aa8\u6298X\u7ebf\u7247\uff0c\u5927\u5bb6\u8ba8\u8bba\u4e00\u4e0b\u9aa8\u6298\u7c7b\u578b<\/p>\n<\/p>\n<p>\u5c5e\u4e8e\u8e1d\u5173\u8282\u9aa8\u6298\u8fd8\u662f\u80eb\u8153\u9aa8\u8fdc\u7aef\u9aa8\u6298\uff0c\u4ea6\u6216\u8005\u662f\u522b\u7684\u9aa8\u6298\u7c7b\u578b\uff1f<\/p>\n<p>\u3010\u6982\u5ff5\u7684\u63d0\u51fa\u3011<\/p>\n<p>2006\u5e74\uff0c\u5f20\u82f1\u6cfd\u9662\u58eb&nbsp;\u548c&nbsp;\u4faf\u5fd7\u52c7\u6559\u6388\u5206\u522b\u5728\u300a\u4e2d\u534e\u521b\u4f24\u6742\u5fd7\u300b\u548c\u300a\u4e2d\u534e\u9aa8\u79d1\u6742\u5fd7\u300b\u53d1\u8868\u9898\u4e3a\u300a\u80eb\u9aa8\u4e0b 1\/3\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\u7684\u81f4\u4f24\u673a\u5236\u53ca\u6f0f\u8bca\u539f\u56e0\u5206\u6790\u300b\u3001\u300a\u80eb\u9aa8\u4e0b1\/3\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\u4e94\u4f8b\u62a5\u544a\u300b\u3002\u80eb\u9aa8\u4e0b1\/3\u87ba\u65cb\u9aa8\u6298\uff0c\u540e\u8e1d\u9aa8\u6298\u4e0e\u80eb\u9aa8\u9aa8\u6298\u7ebf\u4e0d\u8fde\u7eed\uff0c\u4e3a\u4e00\u72ec\u7acb\u9aa8\u5757<\/p>\n<p>\u6b64\u7c7b\u578b\u9aa8\u6298\u79f0\u4e3aZ-H\uff08\u5f20-\u4faf\u6c0f\u9aa8\u6298)\u3002<\/p>\n<hr>\n<p>\u3010\u635f\u4f24\u673a\u5236\u3011<\/p>\n<p>1.\u80eb\u9aa8\u9aa8\u6298<\/p>\n<\/p>\n<p>\u591a\u7531\u4e8e\u95f4\u63a5\u66b4\u529b\u6240\u81f4\uff0c\u8fd0\u52a8\u4e2d\u8db3\u8e1d\u90e8\u56fa\u5b9a\uff0c\u60a3\u80a2\u7531\u4e8e\u60ef\u6027\u7ee7\u7eed\u5411\u524d\u8fd0\u52a8\u5e76\u5411\u5916\u4fa7\u65cb\u8f6c\uff0c\u65cb\u8f6c\u5916\u529b\u6301\u7eed\u4f5c\u7528\u4e8e\u80eb\u9aa8\u9aa8\u5e72\uff0c\u9020\u6210\u80eb\u9aa8\u8fdc\u7aef1\/3\u8584\u5f31\u90e8\u4f4d\uff08\u80eb\u9aa8\u9aa8\u5e72\u7531\u4e09\u8fb9\u5f62\u79fb\u5f62\u4e3a\u56db\u8fb9\u5f62\uff09\u53d1\u751f\u87ba\u65cb\u9aa8\u6298\uff0c\u9aa8\u6298\u7ebf\u7531\u5185\u4e0b\u5230\u5916\u4e0a\u3002<\/p>\n<p>2.\u540e\u8e1d\u9aa8\u6298<\/p>\n<\/p>\n<p>\u540e\u8e1d\u7684\u9aa8\u5c0f\u6881\u7eb5\u5411\u6392\u5217\uff0c\u9aa8\u6298\u7ebf\u5e38\u4e0e\u80eb\u9aa8\u7eb5\u8f74\u5e73\u884c<\/p>\n<p>A.\u4e0b\u80eb\u8153\u540e\u97e7\u5e26\u53d7\u5230\u8f83\u5f3a\u5185\u65cb\u529b\u7684\u7275\u62c9\u81f4\u540e\u8e1d\u9aa8\u6298<\/p>\n<p>B.\u8db3\u90e8\u56fa\u5b9a\u540e\u8eab\u4f53\u7531\u4e8e\u60ef\u6027\u7ee7\u7eed\u5411\u524d\u8fd0\u52a8,\u4e0e\u8ddd\u9aa8\u53d1\u751f\u526a\u5207\u9020\u6210\u540e\u8e1d\u9aa8\u6298<\/p>\n<p>C.\u8e1d\u5173\u8282\u53d7\u5230\u626d\u8f6c\u5e94\u529b\u548c\u5782\u76f4\u5e94\u529b\u7684\u4f5c\u7528,\u8ddd\u9aa8\u5411\u540e\u4e0a\u649e\u51fb\u540e\u8e1d\u9020\u6210\u9aa8\u6298<\/p>\n<p>\u57282007\u5e74\uff0c\u4e24\u4f4d\u4f5c\u8005\u5728\u300a\u6cb3\u5317\u533b\u836f\u300b\u6742\u5fd7\u53d1\u6587\uff0c\u7ecf\u8fc7\u5927\u91cf\u75c5\u4f8b\u7684\u7edf\u8ba1\u5206\u6790\uff0c\u63d0\u793a\u4e86\u201c\u5f20-\u4faf\u6c0f\u9aa8\u6298\u201d\u7684\u6982\u5ff5\uff0c\u5e76\u63d0\u51fa\u4e86\u5206\u578b\u3001\u5206\u5ea6\u4e0e\u6cbb\u7597\u5efa\u8bae\u3002<\/p>\n<p>\u56fe3\u53c2\u8003\u6587\u732e\uff1a\u5f20\u82f1\u6cfd,\u4faf\u5fd7\u52c7,\u5f20\u5947, \u7b49.\u80eb\u9aa8\u4e0b1\/3\u87ba\u65cb\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\u7684\u635f\u4f24\u7c7b\u578b\u53ca\u5206\u5ea6[J].\u6cb3\u5317\u533b\u836f,2007,29(12):1337-1338.<\/p>\n<hr>\n<p>\u3010Z-H\u9aa8\u6298\u5206\u578b\u3011<\/p>\n<\/p>\n<p>\u5373\u4f7f\u666e\u901aX\u7247\u672a\u53d1\u73b0\u540e\u8e1d\u9aa8\u6298\uff0c\u4f46\u4f53\u683c\u68c0\u67e5\u65f6\u5982\u540e\u8e1d\u5b58\u5728\u538b\u75db\u5e94\u52a0\u505aCT\u6216MR\u4ee5\u9664\u5916\u9690\u5f62Z-H\u9aa8\u6298\uff0c\u672f\u4e2d\u8e1d\u5173\u8282X\u7247\u4e5f\u975e\u5e38\u5fc5\u8981\uff01<\/p>\n<p>1.\u663e\u6027Z-H\u9aa8\u6298<\/p>\n<p>\u540e\u8e1d\u79fb\u4f4d\u8f83\u5927\u65f6\uff0c\u901a\u8fc7X\u7ebf\u68c0\u67e5\u5373\u80fd\u786e\u8bca\u7684Z-H\u9aa8\u6298\u3002<\/p>\n<p>2.\u9690\u6027Z-H\u9aa8\u6298<\/p>\n<p>\u5f53X\u7ebf\u65e0\u6cd5\u68c0\u67e5\u51fa\uff0c\u800c\u7ecf\u8fc7CT\u6216MRI\u68c0\u67e5\u786e\u8bca\u3002<\/p>\n<hr>\n<p>\u3010Z-H\u9aa8\u6298\u5206\u5ea6\u3011<\/p>\n<p>\u6839\u636e\u4e0d\u540cZ-H\u9aa8\u6298\u7684\u540e\u8e1d\u635f\u4f24\u3001\u79fb\u4f4d\u7a0b\u5ea6\u5e76\u7ed3\u5408X\u7ebf\u3001CT\u548cMRI\u5f71\u50cf\u5b66\u8868\u73b0\u5c06\u5176\u5206\u4e3a4\u5ea6\u3002I\u5ea6\uff1aX\u7ebf\u548cCT\u672a\u80fd\u68c0\u51fa\u540e\u8e1d\u635f\u4f24\uff0cMRI\u68c0\u51fa\u540e\u8e1d\u635f\u4f24\uff1b<\/p>\n<p>\u2193 &nbsp; &nbsp;&nbsp; &nbsp; II\u5ea6\uff1aX\u7ebf\u672a\u68c0\u51fa\u540e\u8e1d\u635f\u4f24\uff0cCT\u548cMR\u68c0\u51fa\u540e\u8e1d\u635f\u4f24<\/p>\n<\/p>\n<p>\u2193 &nbsp; &nbsp;III\u5ea6\uff1aX\u7ebf\u3001CT\u3001MRI\u5747\u68c0\u51fa\u540e\u8e1d\u635f\u4f24\uff0c\u540e\u8e1d\u9aa8\u6298\u7ebf\u5728X\u7ebf\u7247\u4e0a\u8868\u73b0\u4e3a\u65e0\u79fb\u4f4d\u6216\u79fb\u4f4d\u22642mm\uff1b<\/p>\n<\/p>\n<p>\u2193 &nbsp; &nbsp; IV\u5ea6\uff1a&nbsp;X\u7ebf\u3001CT\u3001Mm\u5747\u68c0\u51fa\u540e\u8e1d\u635f\u4f24\uff0c\u540e\u8e1d\u9aa8\u6298\u5757\u660e\u663e\u79fb\u4f4d\u6216\u5206\u79bb&gt;2mm\u3002<\/p>\n<\/p>\n<p>\u3010\u6f0f\u8bca\u539f\u56e0\u5206\u6790\u3011<\/p>\n<p>\u6b64\u7c7b\u9aa8\u6298\u6613\u6f0f\u8bca\u539f\u56e0\u6709\u4ee5\u4e0b\u51e0\u70b9\uff1a<\/p>\n<ul>\n<li>\u8be5\u7c7b\u9aa8\u6298\u8f83\u9690\u533f\uff0c\u81f4\u4f24\u673a\u5236\u8f83\u4e3a\u7279\u6b8a\uff0c\u8ba4\u8bc6\u8f83\u5c11\uff1b<\/li>\n<li>\u53ea\u6ce8\u610f\u5230\u660e\u663e\u79fb\u4f4d\u7684\u80eb\u8153\u9aa8\u87ba\u65cb\u5f62\u9aa8\u6298\uff0c&nbsp;\u5ffd\u7565\u80eb\u9aa8\u8fdc\u7aef\u7684\u5fae\u5c0f\u9aa8\u6298\uff1b<\/li>\n<li>&nbsp;X \u7ebf\u7247\u7684\u6e05\u6670\u4e0e\u5426\u5f88\u5927\u7a0b\u5ea6\u4e0a\u5f71\u54cd\u4e86\u9aa8\u6298\u7684\u8bca\u65ad\uff0c \u751a\u81f3\u4e00\u4e9b\u533b\u5e08\u53ea\u8003\u8651\u5230\u80eb\u9aa8\u7684\u87ba\u65cb\u5f62\u9aa8\u6298\u66b4\u529b\u5f80\u5f80\u9020\u6210\u8153\u9aa8\u8fd1\u6bb5\u9aa8\u6298\uff0c\u62cd\u6444 X \u7ebf\u7247\u65f6\u53ea\u5305\u62ec\u4e86\u819d\u5173\u8282\u800c\u672a\u80fd\u5305\u62ec\u8e1d\u5173\u8282\uff1b<\/li>\n<li>&nbsp;\u80eb\u9aa8\u540e\u8e1d\u9aa8\u6298 X \u7ebf\u7247\u6b63\u4f4d\u5f88\u96be\u53d1\u73b0\uff0c \u800c\u4fa7\u4f4d\u7247\u7531\u4e8e\u8153\u9aa8\u91cd\u53e0\uff0c\u96be\u4ee5\u5206\u8fa8&nbsp;\u3002<\/li>\n<\/ul>\n<p>\u56fe2\u53c2\u8003\u6587\u732e\uff1a\u4faf\u5fd7\u52c7,\u5f20\u82f1\u6cfd,\u5434\u5e0c\u745e, \u7b49.\u80eb\u9aa8\u4e0b1\/3\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\u4e94\u4f8b\u62a5\u544a[J].\u4e2d\u534e\u9aa8\u79d1\u6742\u5fd7,2006,26(4):278-279.<\/p>\n<hr>\n<p>\u5bf91685\u4f8b\u6210\u4eba\u80eb\u8153\u9aa8\u9aa8\u5e72\u9aa8\u6298\u60a3\u8005\u8fdb\u884c\u56de\u987e\u6027\u5206\u6790\uff0c\u53d1\u73b0\u80eb\u9aa8\u4e0b1\/3\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u629828\u4f8b\uff0c\u653e\u5c04\u79d1\u6f0f\u8bca\u738767.9%\uff0c\u4e34\u5e8a\u9aa8\u79d1\u533b\u5e08\u6f0f\u8bca\u738753.6%<\/p>\n<p>&nbsp;\u540e\u8e1d\u9aa8\u6298\u5757\u5f62\u6001\u5206\u5e03<\/p>\n<\/p>\n<p>&nbsp;<\/p>\n<p>Lab\u5e73\u574726.8mm<\/p>\n<p>Lcd\u5e73\u574713.6mm<\/p>\n<p>\u9aa8\u6298\u7ebf\u4e0e\u5185\u5916\u8e1d\u8f74\u7ebf\u5939\u89d2A\u5e73\u574721.1\u00b0<\/p>\n<p>\u540e\u8e1d\u9aa8\u6298\u5757\u5360\u6574\u4e2a\u65ad\u5c42\u9762\u79ef\u767e\u5206\u6bd4\u5e73\u574720.3%<\/p>\n<p>\u3010\u6d41\u884c\u75c5\u5b66\u5206\u6790\u3011<\/p>\n<\/p>\n<p>\u80eb\u9aa8\u87ba\u65cb\u5f62\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\uff0c\u5360\u5168\u90e8\u80eb\u8153\u9aa8\u9aa8\u5e72\u9aa8\u6298\u76841.7\uff05<\/p>\n<p>\u5360\u80eb\u9aa8\u87ba\u65cb\u5f62\u9aa8\u6298\u76849.7\uff05<\/p>\n<p>\u7537\u5973\u6bd4\u4f8b6.0:1\uff0c40\uff5e50\u5c81\u5e74\u9f84\u5c42\u4eba\u6570\u6700\u591a<\/p>\n<p>\u80eb\u9aa8\u9aa8\u6298\u7ebf\u4f4d\u4e8e\u4e0b\u6bb5\u4e3a68.8\uff05\uff0c\u4e2d\u6bb5\u4e3a22.9\uff05\uff0c\u4e0a\u6bb5\u4e3a8.33\uff05<\/p>\n<p>\u9aa8\u6298\u7ebf\u7684\u65b9\u5411\u4e3a\u7531\u5185\u4e0b\u5230\u5916\u4e0a\u4e3a95.5\uff05\uff0c\u7531\u5916\u4e0b\u5230\u5185\u4e0a\u4e3a4.5\uff05<\/p>\n<p>\u8153\u9aa8\u9aa8\u6298\u7ebf\u4f4d\u4e8e\u4e0a\u6bb5\u4e3a24.7\uff05\uff0c\u4e2d\u6bb5\u4e3a11.5\uff05\uff0c\u4e0b\u6bb5\u4e3a8.8\uff05\uff0c\u65e0\u9aa8\u6298\u7ebf\u4e3a32.6\uff05\uff0c\u591a\u6bb5\u9aa8\u6298\u4e3a2.4\uff05<\/p>\n<p>\u4fa7\u4f4dx\u7ebf\u793a\u540e\u8e1d\u9aa8\u6298\u7d2f\u53ca\u8e1d\u5173\u8282\u97629\uff05\uff5e60\uff05\uff0c\u5e73\u574732.1\uff05<\/p>\n<p>\u4e0d\u540c\u7c7b\u578b\u9aa8\u6298\u81f4\u540e\u8e1d\u9aa8\u6298\u7684\u6bd4\u8f83<\/p>\n<\/p>\n<p>&nbsp;\u540e\u8e1d\u9aa8\u6298\u53d1\u751f\u7387\uff1aTSPMF\u4e2d\u53d1\u751f\u7387\u4e3a34.1\uff05\uff0c\u5355\u7eaf\u8e1d\u5173\u8282\u9aa8\u6298\u4e2d\u7684\u53d1\u751f\u7387\u4e3a17.6\uff05<\/p>\n<p>\u5916\u8e1d\u4e0e\u540e\u8e1d\u540c\u65f6\u9aa8\u6298\u53d1\u751f\u7387\uff1a\u5728TSPMF\u4e2d\u53d1\u751f\u7387\u4e3a17.9\uff05\uff0c\u5355\u7eaf\u8e1d\u5173\u8282\u9aa8\u6298\u4e2d\u7684\u53d1\u751f\u7387\u4e3a73.7\uff05<\/p>\n<p>\u8153\u9aa8\u9aa8\u6298\u7ebf\u5728\u4e0b\u80eb\u8153\u8054\u5408\u4ee5\u4e0a\u7684\u53d1\u751f\u7387\uff1aTSPMF\u4e2d\u53d1\u751f\u7387\u4e3a75\uff05\uff0c\u5355\u7eaf\u8e1d\u5173\u8282\u9aa8\u6298\u4e2d\u7684\u53d1\u751f\u7387\u4e3a24.8\uff05<\/p>\n<p>\u3010\u6587\u732e\u5b66\u4e60\u53ca\u8fdb\u5c55\u3011<\/p>\n<p>&nbsp;1.&nbsp;<\/p>\n<\/p>\n<\/p>\n<p>According to our retrospective study, in the 1,685 fractures of the tibia, 288 cases showed spiral fractures of the tibia, whichwere combined with PMFs in 28 cases, the PMF incidence&nbsp;was 9.7%. However, in our prospective study, 30 (88.2%) of&nbsp;34 fractures of the tibia were combined with the PMFs.<\/p>\n<p>&nbsp;2.<\/p>\n<\/p>\n<p>Plain radiographs are often insuf\ufb01cient for detecting posterior malleolus fractures in conjunction with ipsilateral distal third diaphyseal tibia fractures. Using a preoperative CT protocol for tibial shaft fractures can signi\ufb01cantly improve the ability to diagnose associated intra-articular fractures that may not be evident on plain radiographs. Knowledge of these associated intra-articular fractures may prompt fracture stabilization&nbsp;and can prevent displacement&nbsp;during intramedullary nailing&nbsp;of tibia shaft fractures.<\/p>\n<p>3.<\/p>\n<\/p>\n<p>Concomitant ipsilateral ankle and distal one-third spiral tibial shaft fractures are more common thanpreviously reported. Utilizing a new imaging protocol, we&nbsp;found that the incidence of this combined injury was 84 %.Recognition of the ankle fracture component in this tibial&nbsp;shaft cohort can be important as it may alter the surgical&nbsp;plan and postoperative management.<\/p>\n<p>4.<\/p>\n<\/p>\n<p>5.<\/p>\n<\/p>\n<p>\u3010\u6cbb\u7597\u9009\u62e9\u3011<\/p>\n<\/p>\n<p>\u80eb\u9aa8\u8fdc\u7aef\u9aa8\u6298\u5408\u5e76\u540e\u8e1d\u9aa8\u6298\uff0c\u672f\u4e2d\u5e94\u5148\u56fa\u5b9a\u540e\u8e1d<\/p>\n<\/p>\n<p>\u7f8e\u56fd\u5b66\u8005Harish Kempegowda&nbsp;\u8fdb\u884c\u4e86\u4e00\u9879\u56de\u987e\u6027\u7814\u7a76\uff0c\u5206\u6790\u80eb\u9aa8\u8fdc\u7aef\u9aa8\u6298\u548c\u540e\u8e1d\u9aa8\u6298\u7684\u5173\u7cfb\uff0c\u5e76\u63a2\u8ba8\u5176\u9aa8\u6298\u56fa\u5b9a\u7684\u5148\u540e\u6b21\u5e8f\u3002\u7814\u7a76\u53d1\u73b0\uff0c\u540e\u8e1d\u9aa8\u6298\u5e38\u5e38\u4f34\u6709\u80eb\u9aa8\u8fdc\u7aef\u87ba\u65cb\u578b\u9aa8\u6298\u3002\u4e3a\u4e86\u907f\u514d\u672f\u4e2d\u9aa8\u6298\u5757\u79fb\u4f4d\uff0c\u4f5c\u8005\u5efa\u8bae\u5148\u56fa\u5b9a\u540e\u8e1d\uff0c\u518d\u884c\u9ad3\u5185\u9489\u56fa\u5b9a\u80eb\u9aa8\u3002<\/p>\n<p>1.I\u5ea6\u9aa8\u6298<\/p>\n<p>\u624b\u672f\u4e2d\u540e\u8e1d\u9aa8\u6298\u53ef\u4e0d\u4e88\u7279\u6b8a\u5904\u7406\uff1b<\/p>\n<p>2.II\u5ea6\u9aa8\u6298<\/p>\n<p>\u624b\u672f\u65f6\u5bc6\u5207\u6ce8\u610f\u5e76\u4fdd\u62a4\u540e\u8e1d\uff0c\u9632\u6b62\u624b\u672f\u64cd\u4f5c\u4e2d\u52a0\u91cd\u540e\u8e1d\u9aa8\u6298\u81f4\u5176\u79fb\u4f4d\uff0c\u9ad3\u5185\u9489\u4e0d\u8981\u8fc7\u957f\u3001\u87ba\u9489\u4e0d\u8981\u6253\u5165\u9aa8\u6298\u7ebf\uff0c\u5fc5\u8981\u65f6\u540e\u8e1d\u884c\u514b\u6c0f\u9488\u6216\u62c9\u529b\u87ba\u9489\u56fa\u5b9a\uff1b<\/p>\n<p>3.III\u5ea6\u9aa8\u6298<\/p>\n<p>\u624b\u672f\u65f6\u5e94\u9996\u5148\u56fa\u5b9a\u540e\u8e1d\u9aa8\u6298\u518d\u5904\u7406\u80eb\u8153\u9aa8\u9aa8\u6298\uff0c\u4ee5\u9632\u64cd\u4f5c\u4e2d\u540e\u8e1d\u9aa8\u6298\u5757\u53d1\u751f\u79fb\u4f4d\u5f71\u54cd\u8e1d\u5173\u8282\u9762\uff1b<\/p>\n<p>4.IV\u5ea6\u9aa8\u6298<\/p>\n<p>\u540e\u8e1d\u9aa8\u6298\u5757\u5e94\u4e88\u590d\u4f4d\u56fa\u5b9a\uff0c\u6062\u590d\u8e1d\u5173\u8282\u7684\u7a33\u5b9a\u6027\u548c\u5b8c\u6574\u6027\uff0c\u907f\u514d\u672f\u540e\u5e76\u75c7\u51fa\u73b0\u3002<\/p>\n<p>\u5bf9\u4e8eI\u5ea6\u3001II\u5ea6\u548c\u672f\u540e\u8e1d\u5173\u8282\u9762\u4fdd\u6301\u826f\u597d\u5bf9\u4f4d\u7684III\u5ea6\u9aa8\u6298\uff0c\u8e1d\u5173\u8282\u529f\u80fd\u57fa\u672c\u4e0d\u53d7\u5f71\u54cd\uff1b\u672f\u4e2d\u53d1\u751f\u8e1d\u5173\u8282\u79fb\u4f4d\u7684III\u5ea6\u9aa8\u548cIV\u5ea6\u9aa8\u6298\uff0c\u8e1d\u5173\u8282\u529f\u80fd\u5c06\u53d6\u51b3\u4e8e\u540e\u8e1d\u9aa8\u5757\u590d\u4f4d\u8d28\u91cf\u3002<\/p>\n<hr>\n","protected":false},"excerpt":{"rendered":"<p>Z-H fracture\uff08\u597d\u5947\u602a\u7684\u540d\u5b57\uff0c\u6307\u7684\u662f\u5565\u9aa8\u6298\u554a\uff1f\uff09 \u5148\u770b\u4e00\u7ec4\u9aa8\u6298X\u7ebf\u7247\uff0c &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=50148\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-50148","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/50148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50148"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/50148\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50148"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}