股骨重建髓内钉内固定与经皮注射自体红骨髓治疗股骨粗隆下骨不连  

Treatment of Subtrochanteric Nonunion by Interlocking Nails and Percutaneous Injection of Bone Marrow

作　　者：李亚非[1] 时述山[1] 刘智[1] 李柱林[2] 王瑞旻 郭永智[1] 常红星[1] 李增洲[1] 

机构地区：[1]北京军区总医院骨科全军骨科中心,100700 [2]河北省唐山市第255医院骨科 [3]浙江省瑞安市中医院骨科

出　　处：《中国矫形外科杂志》2000年第6期544-546,共3页Orthopedic Journal of China

摘　　要：目的 :采用股骨重建髓内钉内固定与经皮注射自体红骨髓治疗股骨粗隆下骨不连。材料与方法 :共 9例 ,平均年龄 5 2岁 ,以往平均手术次数 2次 ,骨折后时间平均 2年 6个月。方法 :用股骨重建髓内钉静力型固定骨折端。取自体髂骨植骨。术后 7d ,14d ,抽取自体红骨髓 ,注射于骨折端。结果 :所有病例在 5 -10个月愈合。结论 :上述方法可提供坚强地内固定 ,又可补充成骨基质和成骨前质细胞 。Objective:To investigate the effectiveness of percutaneous injection of bone marrow to treat subtrochanteric nonunion after reconstruction by femoral interlocking nail fixation. Methods:9 femoral aseptic subtrochanteric nonunion were treated with plates,intramedullary nails or external fixators.Reconstruction femoral interlocking nails was placed with autologous bone grafting after marrow cavity was reamed.Bone marrow was percutaneously injected into the fracture sites at seven and fourteen days after operation.Results: All cases achieved a solid union except for one case of tibia fragment fracture.Conclusion:We believed that the procedure should be considered for all indicated cases because it can provide solid internal fixation,accelerate fracture healing and improve circulation and activity of osteoblasts in fracture sites.

关 键 词：交锁髓内钉 骨不连 骨髓 

分 类 号：R683.42[医药卫生—骨科学]