利用生物胶粘合内固定技术治疗骨干骺端骨折的应用研究  

Applied Research on Medical Adhesive Internal Fixation in Treatment of Bone Metaphysic Fracture

作　　者：李孟军 徐建德 戴国强 孙卫东 俞建国 王金武[2] 蒋海涛[2] 黄敏[2] 廖广珊[2] 刘晓琳[2] 

机构地区：[1]上海市嘉定区安亭医院骨科,上海201805 [2]上海交通大学医学院附属第九人民医院骨科/骨与关节研究中心,上海200011

出　　处：《临床医学工程》2012年第1期3-5,共3页Clinical Medicine & Engineering

基　　金：上海市嘉定区卫生局科研资助项目(JXK-2009-05)

摘　　要：目的研究骨干骺端骨折碎骨块的生物胶粘合固定技术,总结应用生物胶粘合技术固定游离骨块的临床经验。方法将骨干骺端粉碎性骨折的患者按照骨块固定技术随机分组,对照组采用空心钉、螺丝钉、克氏针固定,共30例;治疗组采用生物胶粘合结合可吸收线缝合固定技术共28例,进行临床回顾性研究,对有无骨块移位、骨折愈合时间、关节功能评价、有效率进行对比分析。结果对照组的骨块移位发生率、关节功能、有效率明显较治疗组低(P<0.05),而患者的骨折愈合时间无显著性差异(P>0.05)。结论应用生物胶粘合技术是治疗骨干骺端骨折碎骨块固定的一种有效方法。Objective To study the treatment method for bone metaphysic fracture with medical adhesive（N-Butyl methacrylate, BMA）, and to summarize the experience of using adhesive in bone fracture treating technology. Methods 58 cases of metaphysic fracture were selected and randomly divided into control group and treatment group： 30 cases in the control group were fixed with hollow nails, screws, and Kirschner pins, and 28 cases in the treatment group were fixed with medical adhesive in combination of absorbable sutures. The united rate, joint function, bone facet motion rate, cure time and clinic effect were compared and analyzed retrospectively between the control group and the treatment group. Results There was no significant difference in cure time between the control group and the treatment group （P〉0.05）. The differences about the united rate, joint function, bone facet motion rate and clinic effect between the control group and the treatment group were significantly different （P 〈0.05）. Conclusion Treatment of severe metaphysic fracture with medical adhesive maybe a reliable method.

关 键 词：骨干骺端骨折 生物胶 Α-氰基丙烯酸正丁酯 内固定 骨科学 

分 类 号：R683[医药卫生—骨科学]