交锁髓内钉合侧方钢板内固定加植骨术治疗骨不连  

Treatment of Nonunion with Interlocking Intramedullary Nails and Lateral Plate and Bone Grafting

作　　者：况光荣 龚彩云[1] 朱志敏[1] 卢渊铭 李振平[1] 

机构地区：[1]廉江市人民医院,广东廉江524400

出　　处：《实用医技杂志》2008年第20期2587-2589,共3页Journal of Practical Medical Techniques

摘　　要：目的:探讨交锁髓内钉合侧方钢板内固定加植骨术治疗股骨、胫骨无菌性骨不连的临床疗效。方法:对31例无菌性骨不连,股骨干(包括转子下)11例,股骨髁上8例,胫骨干12例;其中肥大性8例,营养不良性12例,萎缩性8例,滑膜假关节3例。采用交锁髓内钉合侧方钢板内固定加植骨术治疗。结果:随访28例,随访率90.3%。骨折全部愈合,愈合时间0.5 a～2 a,平均1.2 a。愈合率100%。结论:采用交锁髓内钉合侧方钢板内固定加植骨术治疗股骨、胫骨无菌性骨不连,可以提高骨折固定稳定性,不会明显加重手术对血运的破坏;可以早期进行功能锻练;促进骨不连愈合,是一种有效的治疗方法。Objective To observe the clinical results of interlocking intramedullary nails and lateral plate and bone grafting applied to treat the femur and tibia aseptic non-union.Methods Thirty-one cases of aseptic nonunion were treated with nterlocking intramedullary nails and lateral plate and bone grafting.The nonunion was located at the femoral shaft in 11 cases, at the distal femur in 8 cases,at the tibial shaft in 12 case, and at the femoral shaft in 4 cases. 8 cases were hypertrophic nonunions,12 cases dystrophic nonunions,8 cases atrophic nonunions,and 3 cases pseudoarthrosis.Results Twenty-eight cases were followed up. All the nonunion were healed without any severe complications.And the healing time was. 5～2 years （1.2 years on average）.Conclusion The interlocking intramedullary nails and lateral plate and bone grafting is a valuable procedure to treat the femur and tibia aseptic non-union. The technique can be applied to increase stability and improve nonunion and get good function.

关 键 词：交锁髓内钉 钢板 内固定 植骨术 骨不连 

分 类 号：R687.3[医药卫生—骨科学]