髓内植骨一次性延长治疗下肢骨不连肢体短缩畸形  

One Stage Lengthening for Shortened Lower Limbs due to Nonunion by the Method of Intramedullary Bone Grafting

作　　者：苗旭漫[1] 王亚军[2] 徐莘香[3] 

机构地区：[1]解放军第208医院骨科,长春市130062 [2]白求恩医科大学二附院骨科 [3]白求恩医科大学一附院骨科

出　　处：《骨与关节损伤杂志》1999年第2期88-89,共2页The Journal of Bone and Joint Injury

摘　　要：为总结下肢骨不连肢体短缩畸形治疗经验,采用自体半侧腓骨髓内植骨,髂骨充填骨缺损区,梯型加压钢板固定术式一次性延长下肢骨不连后肢体短缩畸形16例16个骨。平均随访22个月,结果显示股骨平均延长3.5cm,胫骨1.8cm,平均骨愈合时间14个月,无神经血管损伤及骨不愈合并发症发生。认为:髓内及延长区植骨加金属钢板固定牢靠,患肢功能恢复迅速。We present the method of fixation with autogenous semi - side fibula intramedullary grafted and iliac bone fill-ing into defection area and fixing it with T- shape press plate for 16 patients (16 pieces of bone). Average followed - up period 22 months, average femoral lengthening was 3.5cm, tibia lengthening was 1.8cm, and average bone healing pe-riod was 14 months without nerve or blood vessel injury and bone nonunion. Plate fixation with bone intramedullary grafting and bone grafting into lengthening area were very firm. Function of injuried limb recoveried quickly.

关 键 词：髓内植骨 固定 下肢骨不连 肢体短缩畸形 

分 类 号：R683.420.5[医药卫生—骨科学]