摘要
目的通过对比性研究评价两种手术方式治疗股骨干骨折带锁髓内钉固定术后骨不连的疗效。方法回顾分析2009年1月至2010年7月针对41例股骨干骨折带锁髓内钉固定术后骨不连患者采用手术治疗的临床效果,20例行髓内钉取出加滑槽植骨锁定加压钢板固定(A组),21例行断端周围植骨加锁定钢板辅助固定(B组),评估手术时间、手术出血量、植骨愈合率等情况。结果两组患者经8～13个月随访,平均11个月。两组手术时间分别为(130±25)min、(90±17)min,两组间比较差异有统计学意义(P<0.05);手术出血量分别为(436±60)mL、(304±37)mL,两组间比较差异有统计学意义(P<0.05);两组植骨融合率分别为90%、95.2%,两组间比较差异无统计学意义(P>0.05)。结论两种手术方法治疗股骨干骨折带锁髓内钉固定术后骨不连均可得到满意的疗效。骨折断端周围植骨加钢板辅助固定治疗的手术方法具有操作相对简单、手术时间短、创伤小、手术并发症少等优点。
Objective To evaluate the surgical treatment of two operation methods for femoral fractures nonunion after intramedullary nail fixation.Methods From January 2009 to July 2010,41 cases of femoral fractures nonunion after intramedullary nail fixation were treated by surgical treatment.20 routine intramedullary nailing remove and sliding channel bone graft locking plate fixation（group A）,21 routine bone graft and locking plate auxiliary fixed（group B）.Operative time,amount of blood loss surgery,graft healing rate were evaluated.Results The patients were respectively followed-up for 11 months.The operation time was（130＋25） min,（90＋17） min and there was statistical significant（P0.05）.Conclusion The two surgical method to treat femoral fractures nonunion after intramedullary nail fixation can both obtain satisfactory result.The broken bone graft and plate fixation is relatively simple,easy and less invasive.
出处
《实用骨科杂志》
2012年第6期506-509,共4页
Journal of Practical Orthopaedics
关键词
骨不连
股骨干骨折
植骨
髓内钉固定
锁定钢板
bone nonunion
femoral fractures
bone graft
Intramedullary nail fixed
locking plate
