摘要
【摘要】目的探讨自体髂骨改良结构植骨治疗四肢骨不连的临床疗效。方法回顾性分析2010年5月至2011年5川收治的60例四肢骨不连患者资料，男45例，女15例；年龄13～68岁，平均39一岁骨小连部位：肱骨干7例，胫腓骨19例，股骨干27例，桡骨远端4例，锁骨3例。骨不连按照Weber分型肥大型3例，萎缩型15例，缺血型37例，似父节刊5例。骨不连痫程：6～25个月，平均12．5个月。入院前手术次数：1次42例，2次17例，3次1例。
Objective To observe the efficacy of treating extremity nonunions by modified autolo- gous iliac grafting. Methods Included in this study were 60 patients who had been treated for extremity nonunion in our department between May 2010 and May 2011. They were 45 men and 15 women, with an average age of 39.2 years （range, 13 to 68 years）. There were 7 humeral nonunions, 19 tibial nommions, 27 femoral nonunions, 4 radial nonunions, and 3 clavicle nonunions; by Weber classification, there were 3 hy- pertrophic nonunions. 15 atrophic nonunious, 37 isehemie nonunions and 5 pseudarthroses. The mean disease course of nonunitm was 12.5 months （from 6 to 25 months） . Befl^re this revision, 42 patients had one op- eration, 17 had 2 operations and one patient had 3 operations： 45 palients had been treated with plate, 8 with intramedullary nail and 7 with external fixator. This revision was performed using modified autologous iliac grafting followed b.v bridging fixation with locking plate. All patients were followed to dneument fracture healing and complications. Results The average fnlh）w-up was 12.8 months （range, 6 to 24 months）.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2013年第8期671-675,共5页
Chinese Journal of Orthopaedic Trauma
基金
陕西省科学技术研究发展计划项目（2012JM4024）
关键词
骨折
不愈合
四肢
骨移植
Fractures, ununited： Extremities
Bone transplantation
