钢板内固定术治疗胫骨骨不连的最新进展  

Latest progress of plate internal fixation in the treatment of tibial nonunion

作　　者：叶浩波 孙亮[2] 薛汉中[2] 李忠[2] 张堃[2] Ye Haobo;Sun Liang;Xue Hanzhong;Li Zhong;Zhang Kun(Xi′an Medical University,Xi′an 710068,China;Department of Orthopaedics,Honghui Hospital,Xi′an Jiaotong University,Xi′an 710054,China)

机构地区：[1]西安医学院,710068 [2]西安交通大学医学院附属红会医院创伤骨科,710054

出　　处：《国际外科学杂志》2020年第3期192-196,共5页International Journal of Surgery

基　　金：陕西省社会发展领域重点项目(2017ZDXM-SF-009)。

摘　　要：随着社会经济的发展,车祸伤、坠落伤、摔伤等高强度能量是导致骨折的直接原因。骨折的愈合受多种因素的影响,可能会出现畸形愈合、延迟愈合、不愈合以及伤口感染等。胫骨骨折通常是由于高能机制造成的,也可由踝关节旋转的低能量机制引起。随着骨科医师对骨不连认识的逐渐深入,目前胫骨骨不连的治疗方式主要分为手术治疗和非手术治疗。一般手术治疗是治疗骨不连患者的首选,其中钢板内固定术在治疗胫骨骨不连中发挥着独有的优势。本文通过回顾就近已发表的文献,就钢板内固定术治疗胫骨骨不连的最新进展进行综述。With the development of social economy,high-intensity energy is the direct cause of fracture,such as traffic accident,fall injury and tumble.Fracture healing is affected by many factors,such as malunion,delayed union,nonunion and wound infection.Tibial fractures are usually caused by high-energy mechanisms and can also be caused by low-energy mechanisms of ankle rotation.With the gradual deepening of orthopedic surgeons′understanding of bone nonunion,the treatment of tibial nonunion is mainly divided into surgical treatment and non-operative treatment.Surgical treatment is generally the first choice for the treatment of bone nonunion,in which plate internal fixation plays an unique advantage in the treatment of tibial nonunion.By reviewing the recently published literature,this paper reviews the latest progress in the treatment of tibial nonunion with plate internal fixation.

关 键 词：骨折不愈合 胫骨 骨折 综述 

分 类 号：R687[医药卫生—骨科学]