前置锁定接骨板结合自体骨植骨治疗肱骨干骨折不愈合临床观察  

Observation of the humeral shaft nonunion treated by anterior locking compression plate fixation combined with autologom bone graft

作　　者：刘建鹏[1] 范红旗[1] 刘海金[1] 沙永顺[1] 桑敏[1] 李双成[2] 

机构地区：[1]中国人民解放军第二五二医院创伤骨科,河北保定071000 [2]河北医科大学人体解剖学教研室及神经生物研究室,河北石家庄050017

出　　处：《河北中医》2014年第9期1429-1431,1434,共4页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察前置锁定加压接骨板(LCP)固定结合自体骨植骨治疗肱骨干骨折不愈合临床疗效。方法将72例肱骨干骨折不愈合患者随机分为2组。治疗组30例应用前置LCP固定结合自体骨植骨治疗,对照组42例应用非前置LCP固定结合自体骨植骨治疗,观察2组术中出血量、手术时间、骨折愈合情况及肩肘关节功能情况。结果 2组肩肘关节功能优良率及骨折愈合时间比较差异均无统计学意义(P>0.05),但治疗组术中失血量、手术时间较对照组减少或缩短(P<0.01)。结论前置LCP固定结合自体骨植骨治疗肱骨干骨折不愈合对全身和局部的损伤少,手术时间短。Objective To evaluate the efficacy of secondary revision with anterior locking compression plate fixation and autologous bone graft for nonunion of humeral shaft. Methods 72 cases of humeral shaft nonunion of fracture were randomly divided into two groups. All of the patients were treated with locking compression plate fixation and autologous bone graft. According to the operation way, anterior LCP fixation group 30 cases, non - Anterior LCP fixation group with 42 cases. Operation time, bleeding volume and the fracture healing time and the motion range of shoulder and elbow joint. Results Excellent rate of anterior LCP fixation in the treatment of humeral shaft fracture and was 90%, there was no significant difference in efficacy between the two groups （ P 〉0.05）. But the anterior LCP fixation group of intraoperative blood loss and the operation time is significantly shortened （ P 〈 0.01 ）. Con-clusion Anterior LCP and autologous bone graft is safe and effective treatment for nonunion of humeral shaft with short operation time, Systemic and local less damage.

关 键 词：骨折 不愈合 移植 自体 骨折固定术 肱骨骨折 外科学 

分 类 号：R683[医药卫生—骨科学]