股骨干骨折不愈合的临床研究及治疗体会

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1、提要目的:本文通过收集股骨干骨折术后骨折不愈合病例，对患者骨折断端的骨愈合状况及患肢的功能活动进行评价，进而对股骨干骨折术后不愈合治疗方法的临床效果进行归纳与总结，为今后的临床实践提供更可靠更深层次的指导。方法:本研究选择20例股骨干骨折术后骨折不愈合的病人，进行回顾性分析，治疗方式采用更换内固定并自体髂骨髓内髓外植骨术。观察并随访患者骨折愈合状况以及患肢功能，对结果进行统计学分析，评定治疗效果。结果：对20例患者18例均一期骨性愈合，完全骨性愈合5~8个月，平均6.5个月。结论:现代医学界对骨折认识

2、的局限性与病人自身性因素（过早负重，骨折类型，活动过多等）是股骨干骨折术后骨折不愈合的两个主要原因。更换内固定器械并以自体髂骨植骨疗效确切。关键词股骨干骨折不愈合自体髂骨植骨四大原则一期愈合TheAnalysisandTreatmentoftheNonunionoftheFractureoftheFemoralShaftSpecialty：OrthopedicsofTCMAuthor：XiaoLinTutor：AssociateProfessorLiGangAbstractObjective：Toev

3、aluatethefactorsandthetreatmentofthepostoperativenonunionofthefractureoffemoralshaft.Method:Intheclinicalstudy,the20patientswithpostoperativenonunionofthefractureoffemoralshaftreceivethesametreatmentprinciples:Inthesecases,theinternalfixationisreplaceda

4、ndautogenousbonegraftisadopted.Results：18casesof20gotostealhealing.Thehealingtimelasts5~8months,average6.5months.Conclusion：Iatrogenicfactorsandpatients'ownfactorsarethemainfactorsofthenonunionofpostoperativefemoralshaftfracture.Thereplacementofinternal

5、fixationwiththecombinationoftheadoptionofautogenousbonegraftiseffectiveinthetreatmentsignificantly.Keywordsthenonunionofthefractureofthefemoralshaft;bonegraftinsideandoutsidebonemarrow;fourmajorprinciples;healingbyfirstintention目录引言.....................

6、..........................................................................................................1临床研究...............................................................................................................................2一、资料与方法.......

7、............................................................................................................2（一）研究对象...................................................................................................................2（二）病例选择..............

8、.....................................................................................................2（三）病例纳入标准...........................................................................................................2（四）病例排除标准.