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《锁定钢板联合自体髂骨植骨治疗四肢长骨干骨折术后无菌性骨不连的效果观察.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、^^定钢板联合自体骼骨植骨治疗四肢长骨干骨折术后无菌性骨不连的效果观察［摘要］目的研究评价锁定钢板联合自体骼骨植骨治疗四肢长骨干骨折术后无菌性骨不连的临床效果。方法选取2006年1月〜2013年6月因内固定失败而造成四肢长骨干无菌性骨不连患者43例，均采用锁定钢板固定联合自体骼骨植骨进行治疗。结果患者均获得随访，随访时间7〜24个月，平均12.6个月。骨不连均愈合，愈合时间为(5.9±1.0)个月。3例(6.9%)出现切口表面感染，经治疗后均痊愈；2例(4.7%)切口延迟愈合；1例(2.3%)出现肢体短缩约2cm,无一例发生骨折畸
2、形愈合。末次随访时关节活动度较术前显著改善，其中功能优良35例(81.4%),可7例(16.3.%),差1例(2.3%)。结论锁定钢板联合自体骼骨植骨治疗四肢长骨干骨折术后无菌性骨不连，具有确切的疗效，锁定钢板联合自体骼骨移植治疗能为骨折提供可靠的内固定稳定性和良好的骨诱导以及骨传导作用，效果良好。［关键词］锁定钢板；四肢长骨干骨折；骨折固定术；内固定器；骼骨移植［中图分类号］R683.4［文献标识码］B［文章编号］1674-4721(2014)08(a)-0176-04Effectobservationonlockingplat
3、ecombiningwithautologousiliacbonegraftinthetreatmentofasepticnonunionaftersurgeryoflongbonefracturesofextremitiesLIUZhi-junDepartmentofOrthopedics,ShengbeiHospital,ShengliPetroleumAdministrationofDongyingCityinShandong卩rovince,Dongying257064,China[Abstract]ObjectiveTo
4、researchandevaluatetheeffectoflockingplatecombiningwithautologousiliacbonegraftontreatingasepticnonunionaftersurgeryoflongbonefracturesofextremities.Methods43casesofpatientswithasepticnonuniononlimb1ongbonecausedbybonefixationfailurewereacceptedinourhospitalfromJantia
5、ry2006toJune2013.Allofpatienlsweretreatedwithlockingplatecombiningwithautologousiliacbonegraft・ResultsAllpatientswerefollowedup.Thefollow-uptimerangedfrom7to24months,withanaverageof12.6months.Al1ofnonunionwerehealedin(5.9±1.0)months.Cutsurfaceinfectionoccurredin3cases
6、(6.9%),whichwerecuredaftertreatment.Theslowlyhealedwoundwere2cases(4.7%)andlimbabout2cmshortenedin1case(2.3%)・Noneofcasessufferedfrommalunion.Atthefinalfollow-up,jointactivityimprovedmoresignific且ntlycomparedwithbeforesurgery,including35cases⑻.4%)withexcellenteffect,7
7、cases(16.3%)moderate,and1case(2.3%)poor.ConclusionTnthetreatmentofpatientswithasepticnonunionaftersurgeryoflongbonefracturesofextremities,usinglockingplateforinternalfixationisacurativetherapy.Lockingplatecombiningwithautologousiliacbonegraftcanprovidereliablefixation
8、stabilityforfractura,andshowsgoodfunctionsonboneinductionandconduction,soitobtainsafavorableeffect・[Keywords]Lockingplate；Li
