锁定加压接骨板与带锁髓内针治疗股骨干骨折不愈合的临床疗效研究

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1、提要目的：观察比较锁定加压接骨板和带锁髓内针治疗股骨干骨折不愈合的疗效，总结治疗体会。方法：收集山东中医药大学附属医院骨科2009年9月至2011年3月病房收治的符合纳入标准的股骨干骨折不愈合患者40例，采用锁定加压接骨板（LCP）固定和带锁髓内针固定各20例。所有患者治疗后进行随访，应用Johner-Wruh评分标准对两组患者进行功能评价，对比两者术中出血量、手术时间及骨折愈合率，观察疗效。结果：锁定加压接骨板与带锁髓内针治疗股骨干骨折不愈合均疗效显著，LCP组手术时间，术中出血量均低于带锁髓内针组，且差异有统计学意义（P<0.05）。骨折愈合率LCP组高于

2、带锁髓内针组，但差异无统计学意义(P>0.05)。Johner-Wruh功能评价LCP组优良率85.0%，带锁髓内针组75.0%，两组比较无明显差异，无统计学意义(P>0.05)。结论：锁定加压接骨板治疗股骨干骨折不愈合较带锁髓内针具有局部血运破坏少，手术时间短等优点，但在骨折愈合率，后期功能恢复方面两者无明显差异。关键词股骨干骨折不愈合；锁定加压接骨板；带锁髓内针UseofLockingCompressionPlateandIntramedullaryInterlockingNailforTreatmentofFemoralNon-unionSpeciali

3、ty:OrthopedicsofTCMAuthor:XuXinXingTutor:ProfBiRongXiuAbstractObjective：LCPcomparedwithIntramedullaryInterlockingNailintreatmentoffemoralnon-union,andconcludetheiroperationeffects.Methods：Collect40patientswithfemoralnon-unionwhomettheinclusioncriteriafromAffiliatedHospitalofShandong

4、UniversityofTraditionalChineseMedicineOrthopedicfrom2009.9to2011.3.DividedintoA(20caseswithLCP)andB(20caseswithIntramedullaryInterlockingNail).Allpatientswerefollowedupaftertreatment,comparedwithoperationtime,bloodloss,postoperativebonehealingrate,andJohner-Wruhfunctionalassessmento

5、ftheresults.Results：Bothofthetwogroupgetsignificanteffectintreatmentoffemoralnon-union,Atheoperationtime,bloodlosslowerthantheBgroup,Thereweresignificantstatisticaldifference(P<0.05).AwasbetterinpostoperativebonehealingratethanBgroup,Butnosignificantdifferences(P>0.05).Johner-WruhAg

6、roupofexcellentandgoodratefunctionevaluation85.0%;Bgroupwas75.0%.Butnosignificantdifferencebetweenthetwogroups(P>0.05),withstatisticalsignificance.Conclusion：comparedwithIntramedullaryInterlockingNail,LCPinthetreatmentoffemoralnon-unionwithlessdamagetothelocalbloodsupplyandlessopera

7、tiontime.butinpostoperativebonehealingrate,andtheresultsofJohner-Wruhfunctionalassessment,therewerenosignificantdifferencebetweenthem.Keywords：LockingCompressionPlate;IntramedullaryInterlockingNail;FemoralNon-union目录引言.................................................................

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