肱骨骨折术后骨不连巨大包壳形成:1例报告和综述  

Nonunion complicated with huge cladding formation after plate fixation of humerus fracture:A case report and review

作　　者：陈尚桐 陈跃平[2] 黄川洪 CHEN Shang-tong;CHEN Yue-ping;HUANG Chuan-hong(Guangxi University of Traditional Chinese Medicine,Nanning,Guangxi 530000,China;Department of Orthopedics and Hand Surgery,Ruikang Hospital,Guangxi University of Traditional Chinese Medicine,Nanning,Guangxi 530001,China)

机构地区：[1]广西中医药大学,广西南宁530000 [2]广西中医药大学附属瑞康医院创伤骨科与手外科,广西南宁530001

出　　处：《中国矫形外科杂志》2024年第18期1686-1692,共7页Orthopedic Journal of China

基　　金：广西临床重点专科(创伤外科)建设项目(编号:桂卫医发{2021}17号);广西壮族自治区医疗卫生临床重点学科-急诊医学科项目(编号:桂卫科教发[2021]8号);广西中医药大学A类“桂派中医药传承创新团队”项目(编号:2022A004)。

摘　　要：骨不连是肱骨骨折术后较为常见的并发症,指肱骨骨折后至少9个月后在3个月内没有骨愈合的迹象。肱骨骨折术后骨不连在老年患者中发生率较高,导致患肢畸形和功能丧失,严重影响患者日常生活与身心健康。既往文献多次报道了肱骨骨折术后骨不连的病因、危险因素、治疗手段和预后,然而肱骨术后骨不连并巨大包壳形成在学术界却鲜有报道。本文报道本院创伤骨科收治的1例肱骨骨折术后骨不连巨大包壳形成,分析其成因机制及治疗方案。此外,本文对相关文献进行综述。Nonunion is a more common complication after humeral fracture,defined as no sign of bone healing for at least 9 months after humerus fracture.The incidence of nonunion after humeral fracture is high in elderly patients,resulting in deformity and loss of function of the affected limb,which seriously affects the daily life,as well as physical and mental health of patients.The etiology,risk factors,treatment and prognosis of postoperative nonunion of humerus fracture have been reported many times in the previous literature,however,postoperative nonunion of humerus complicated with a huge cladding formation has rarely been reported in the literature.In this paper,we report a case of nonunion complicated with a huge cladding formation after plate fixation of humerus fracture,and analyze its mechanism and treatment.In addition,this paper reviews the relevant literature.

关 键 词：肱骨骨折 骨不连 巨大包壳 

分 类 号：R683.41[医药卫生—骨科学]