诱导骨基质植入在治疗胫骨平台骨折中的应用  

Analysis of effects of bone matrix gelatin(BMG)in the treatment of tibial plateau fracture

作　　者：刘永辉[1] 王开友[1] 辛云[1] 曹斌[1] 

机构地区：[1]青岛市海慈医疗集团海慈医院骨科,山东青岛266033

出　　处：《中国骨伤》2006年第4期233-234,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨诱导骨基质植入治疗胫骨平台骨折的临床疗效.方法：对1998年4月-2004年8月收治的胫骨平台骨折35例,男22例,女13例;年龄22～71岁,平均44.3岁,均行诱导骨基质植入治疗,全部病例术前均行正侧位X线片、CT检查,根据骨折类型和软组织损伤情况制定手术方案,术中采用“L”梯型加压钢板及拉力螺钉内固定.结果：35例获得6个月～4年,平均（28.6±8.2）个月随访.按Merchant评分标准：优19例,良10例,可4例,差2例.植骨内固定后骨折愈合时间8～15周,平均（11.3±1.6）周,术后骨折复位均满意.X线片显示骨缺损区修复良好,无骨溶解现象.结论：应用诱导骨基质植入治疗胫骨平台骨折疗效满意,该材料不仅具有一定的生物降解性能、良好的组织相溶性和稳定性,且具有诱导成骨作用。Objective：To analyze the effect of implantation of BMG in the treatment of tibial plateau fracture. Methods：From April 1998 to August 2004,35 patients （male 22, female 13） with tibial plateau fracture were treated with implantation of BMG and fixation with L-trapaezoid compression plate （L-TCP） and lag screw. The age was 22 - 71 years with an average of 44. 3 years. Anterior and lateral X-ray and CT scan was done before operation. Operative program was defined according to type of fracture and condition of soft tissue. Results：All the patients were followed up from 6 to 48 months with an average of （28.6±8.2 ） months. According to criteria of M erchant：19 cases were excellent, 10 good,4 fair, 2 poor. Bone healing time was 8 - 15 weeks with an average of （ 11.3 ±1.6） weeks. Reduction was satisfactory in all patients. There was no X-ray showed plerosis of bony defect completely and osteolysis. Conclusion： Implantation of BMG in the treatment of tibial plateau fracture is effective. The material has good stability can induce osteogenesis.

关 键 词：胫骨平台骨折 骨基质 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学] R815[医药卫生—外科学]