摘要
目的 探讨四肢长管状骨骨不愈合的不同治疗方法。方法 对 72例肱骨、股骨及胫骨骨不愈合行带血管蒂骨膜 (骨 )瓣及松质骨植骨血管束植入术。结果 72例得到 1 3～ 2 9个月、平均 1 8 5个月随访。带血管蒂骨膜组 2 5例有 2 4例骨折愈合 ,时间为 3～ 4 5个月 ,平均为 3 6个月 ;带血管蒂骨瓣组 2 3例有 2 1例骨折愈合 ,时间为 3 5～ 5 7个月 ,平均为 4 2个月 ;松质骨植骨血管束植入组 2 4例有 2 0例骨折愈合 ,时间为 4～ 7 6个月 ,平均 4 5个月。结论 三种手术方法均有促进骨折愈合作用。其成骨能力以带血管蒂骨膜 (骨 )瓣较强 。
Objective To evaluate treatment methods of fracture nonunion of limbs.Methods Seventy-two cases who affected fracture nonunion of humerus、tibia or femur had been performed treatment with vascularised bone/periosteum flap graft or implantation of cancellous and vascular bundle.Results All the cases were followed up with an average time of 18 5 months,ranging from 13 to 29 months.Twenty-five patients were performed with vascularised periosteum flap graft and 24 cases got fracture union,the average union time was 3 6 months,ranging from 3 to 4 5 months;23 patients were treated with vascularised bone flap graft and 21 cases achieved union,the average time was 4 2 months,ranging from 3 5 to 5 7 months;24 patients were treated with implantation of cancellous and vascular bundle,of these cases,21 got union and the average time was 4 5 months,ranging from 4 to 7 6 months.Conclusion The three methods are all benefit to healing of bone fracture,vascularised periosteum flap is the most efficiency,however the efficiency of cancellous and vascular bundle is the least.
出处
《骨与关节损伤杂志》
2004年第6期379-381,共3页
The Journal of Bone and Joint Injury
