LCP结合自体髂骨联合RBX植骨治疗非感染萎缩型肱骨干骨不连的体会  

The Efficacies and Experience of LCP combined with ICBG and RBX in the Treatment of Non-infective Atrophic Humeral Shaft Nonunion

作　　者：王陶然[1] 袁志[1] 李岩[1] 孟国林[1] 李小亮[1] 范书勇 强毅[1] 郝赋[1] 刘圣凯[1] 王凯[1] 龙江[1] 强磊[1] 

机构地区：[1]第四军医大学西京医院,陕西西安710032

出　　处：《现代生物医学进展》2017年第14期2757-2761,2750,共6页Progress in Modern Biomedicine

基　　金：陕西省科技助推项目(2014KTCG01-11)

摘　　要：目的:探讨锁定加压钢板(Locked compression plate,LCP)结合自体髂骨联合重组合异种骨(recombinant bone xenograft,RBX)植骨治疗非感染萎缩型肱骨干骨不连的疗效及相关体会。方法:于2009年2月-2015年9月期间,应用LCP结合自体髂骨联合RBX植骨治疗了15例非感染萎缩型肱骨干骨不连。结果:本组获随访9-29个月,骨不连均获得愈合。肩关节功能优良率86.7%,肘关节功能优良率100%。结论:依据本组研究及相关文献报道,LCP结合自体髂骨植骨联合RBX植骨可提高骨不连愈合率。Objective： To discuss the efficacies of locked compression plate（LCP） combined with iliac crest bone graft（ICBG） and recombinant bone xenograft（RBX） in the treatment of non-infective atrophic humeral shaft nonunion, and take the experience at the same time. Methods： 15 patients suffered with non-infective atrophic humeral shaft nonunion are treated with LCP combine with ICBG and RBX in our institution from February 1, 2009 until September 1, 2015. Results： The follow-up time of these 15 patients was 9-29 months. The total rate of fracture reunion rate was 100%. The excellent and good rate of shoulder function is 86.7%, the excellent and good rate of elbow fimction is 100%. Conclusion： According to the study and related literatures, LCP combine with ICBG and RBX is an effective method to improve the union rate of non-infective atrophic humeral shaft nonunion.

关 键 词：肱骨干骨折 骨不连 锁定加压钢板 骨移植 

分 类 号：R683[医药卫生—骨科学]