摘要
目的探讨长骨骨折延迟愈合、不愈合、以及骨不连的形成原因,并对治疗方法的优劣进行分析。方法对106例病人采取自体髂骨移植的植骨方式和局部辅助髂骨骨髓注入,并附加内外固定。结果106例中有3例因其他疾病死亡外,其余103例均获得随访(2年至8年2个月),平均6年7个月,骨折全部愈合,无畸形愈合。按照骨折愈合标准,优93例,良8例,可2例,优良率达98%。结论对于长骨骨折延迟愈合、不愈合、以及骨不连采用自体髂骨移植和髂骨骨髓注入植骨处,并合理应用内、外固定是一种比较有效的治疗方法。
Objective To study the causes and treated method of nonunion in the long-bone sfaft fracture, analyses the dominance and recessive of the every technique and select the best one. Methods 106 cases of nonunion of long-bone shaft fracture were treated by different bone-gaffing technique, additional infusion ofiliac marrow and intemal or extemal fixation. After operation the scientific functional admonishment and regular follow-up. Results Of all patients （ 106 cases ）103 cases have been followed between 2 years and 8 years 2 months （ mean, 6 years 7 months ）. Bone-union of this group cases is satisfactory. According to standard of bone-union, 93 cases were excellent, 11 were good and 2 fair. Conclusion To the nonunion of the long-bone shaft fracture, different bone-grafting technique, additional infusion of iliac marrow and intemal or external fixation is one relatively good selection.
出处
《生物骨科材料与临床研究》
CAS
2007年第6期44-46,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
长骨骨折
骨不愈合
植骨
髂骨骨髓
固定
Long-bone shaft fracture
Bone nonunion
Bone-grafting
Intemal or extemal fixation
