交锁髓内钉治疗前臂骨不连及延迟愈合  

Interlocking intramedullary nail for nonunion and delayed union of forearm

作　　者：苏明海[1] 赵红军[1] 王进[1] 杨书丰[1] 段文江[1] 邱康宁[1] 方振东[1] 高苏宁[1] 

机构地区：[1]解放军第81医院骨科,江苏南京210002

出　　处：《临床骨科杂志》2007年第3期257-258,共2页Journal of Clinical Orthopaedics

摘　　要：目的评价交锁髓内钉固定治疗前臂骨不连及延迟愈合的临床效果。方法12例前臂骨折后骨不连及骨延迟愈合的患者行前臂髓内钉固定治疗,术中自体髂骨植骨,术后石膏托外固定。结果随访12-26个月,12例中10例平均6个月骨折愈合,2例初次C型骨折者随访期内仍未愈合,但交锁钉无松动断裂现象。按Anderson评定标准：优6例,良4例,差2例。结论应用交锁髓内钉固定方法是治疗尺桡骨骨不连和骨延迟愈合的良好选择。Objective To evaluate clinical value of interlocking intramedullary nail for nonunion and delayed union of forearms, Methods 12 cases of radial and ulnar fractures with nonunion and delayed union were involved in the study. They were treated by Smith-Nephew interlocking intramedullary nail system of forearm combined with autogenous iliac bone graft. Supportive equipment such as cast was used for 4 weeks postoperatively. Results All cases were followed up for 12 - 26 months. 10 cases were recovered to criteria of bone healing within average 6 months. 2 cases of orginal C type fracture didn＇t unite till the terminal of follow-up, but no intramedullary nail system loosenning or breakage was found. According to Anderson standard, 6 cases achieved excellent results, 4 good, 2 poor. Conclusion Interlocking intramedullary nail is a preferable method for treatment of nonunion and delayed union of forearm fractures.

关 键 词：尺骨骨折 桡骨骨折 交锁髓内钉 骨折 不愈合 延迟愈合 

分 类 号：R683.41[医药卫生—骨科学] R687.33[医药卫生—外科学]