摘要
目的探讨肱骨干骨折术后骨不愈合原因及防治方法。方法回顾性分析32例肱骨干骨折术后骨不愈合患者行断端清理、髓腔再通、植骨及固定治疗的临床资料。结果经切开复位、内固定、取髂骨植骨治疗,32例患者均获骨性愈合;肩关节功能优良率84.4%,肘关节功能优良率87.5%。结论严格掌握适应证的前提下,准确复位、有效固定、配合自体和(或)异体骨植骨治疗肱骨干骨折术后骨不愈合疗效满意。
Objective To investigate the causes and prevention methods of non-union postoperativ humeral shaft fracture. Methods Thirty two cases with nonunion postoperative humeral shaft fractures ,who performed cleaning fracture ends, marrow recanalization, bone grafting and fix,were analyzed retrospective- ly. Results After treating with open reduction,internal fixation and bone grafting of iliac bone were bone- healing; the excellent and good rate of shoulder joint function was 84.4%, elbow joint 87.5%. Conclusion On the premise of strict indication, the effect of the treatment of bone nonunion, by accurate reduction, effective fixation, auto-and （or） allografting, is satisfied.
出处
《中华损伤与修复杂志（电子版）》
CAS
2009年第1期26-28,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
肱骨干骨折
不愈合
原因
治疗
Humeral shaft fracture
Non-union
Etiology
Treatment
