锁定钢板联合自体髂骨植骨治疗股骨干骨不连13例  

Treatment of nonunion of femoral shaft fracture by using locking compression plate fixation with autogenous iliac bone graft

作　　者：叶勇光 丁清和 何锦勇 庾广文 

机构地区：[1]广州市正骨医院运动创伤科,广州510045

出　　处：《岭南现代临床外科》2017年第3期344-346,350,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的观察13例股骨干骨不连患者采用自体髂骨块联合锁定钢板双固定治疗后的临床疗效。方法 13例股骨干骨不连患者均采取自体髂骨取骨,联合锁定钢板采用双固定骨折端方法进行治疗。结果 13例患者随访时间12~26个月,平均18个月。骨折均获骨性愈合,1例患者伤口延迟愈合,经换药后愈合,无一例发生切口皮肤坏死、深部感染、内固定松动或断裂,无成角畸形。根据HSS膝关节评分为88~97分,平均93分,Rasmussen膝关节功能评分法进行综合评分:优10例,良2例,可1例,差0例。结论符合文献报道:自体髂骨块联合锁定钢板双固定治疗股骨干骨不连临床疗效确切,是一种经济、有效的治疗方法。Objective To report the experience in management of femoral bone nonunion by using combining locking plate fixation with autogenous iliac bone graft. Methods Thirteen patients with nonunion of femoral fracture were collected in our hospital from Mar 2014 to Oct 2016. in recent three years. The clinical data were analyzed and effects were evaluated. Results These 13 patients were followed up for 12 to 26 months(average 18 months). All patients were treated in a surgical procedure of combining locking compression plate fixation with autogenous iliac bone graft,and all fractures were bone healing,no case of the incision skin necrosis,deep infection,implant loosening or fracture. HSS knee scores ranged from 86 to 97(average 92). Rasmussen knee function scores were excellent in ten cases,good in two cases,fair in one cases. Conclusion Consistent with literature reports,autologous iliac joint fixation combined with locking compression plate are an effective and safe method for the management of nonunion after femoral fracture.

关 键 词：骨不连 锁定钢板 自体髂骨块 

分 类 号：R683.42[医药卫生—骨科学]