滑动植骨治疗胫骨干骨折骨不连的临床观察  

Clinic observation on tibial shaft nonunion treated with sliding graft

作　　者：范里[1] 彭昊[1] 任岳[1] 陶海鹰[1] 刘世清[1] 

机构地区：[1]武汉大学人民医院骨科,430060

出　　处：《临床外科杂志》2004年第9期559-560,共2页Journal of Clinical Surgery

摘　　要：目的　探讨滑动植骨治疗创伤后胫骨干骨不连的临床疗效。方法　对 2 2例创伤后胫骨骨不连患者采用滑动植骨加自体髂骨植骨治疗 ,术后石膏外固定 10～ 16周后逐步功能锻炼。结果　所有患者均于 16～ 2 4周 (平均 19周 )临床骨性愈合 ,仅 2例切口感染 ,换药后愈合。骨性愈合半年后膝关节活动度 80°～ 13 0°。结论　滑动植骨是治疗创伤后胫骨干骨不连的有效方法。Objective To investigate the curative effectiveness of treating traumatic tibial shaft nonunion with sliding graft.Methods A retrospective analysis was performed on 22 cases of traumatic tibial shaft nonunion treated with sliding graft and iliac autograft from March 1994 to Dec.2001.Postoperative follow-up of 8 months to 24 months was made on 22 cases.Graduated exercise was done after 10～16 weeks plaster fixation. Results All the tibias got union during 16～24 weeks (average 19 weeks).Only 2 cases had superficial infection.Knee flexion-extension activity surpassed 80°.Conclusion Sliding graft was a safe and effective method in treating traumatic tibia nonunion.

关 键 词：骨不连 胫骨干 滑动植骨 

分 类 号：R687.3[医药卫生—骨科学]