文章摘要
朱光宏吴翔赵俊陈力奇唐欣刘唐浩.镶嵌式外固定架治疗长骨骨不连17例体会[J].,2011,11(3):558-559
镶嵌式外固定架治疗长骨骨不连17例体会
Inlaid external fixator for long bone nonunion
  
DOI:
中文关键词: 外固定架  长骨  骨不连
英文关键词: external fixator  long bone  nonunion
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作者单位
朱光宏吴翔赵俊陈力奇唐欣刘唐浩 湖南吉首市吉首大学附属第一医院骨科 
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中文摘要:
      目的:探讨长骨骨不连的一种治疗方法。方法:2007年1月至2009年8 月, 采用镶嵌式外固定架治疗17例长骨骨不连。本 组17例,男11例,女6例,年龄16-64岁,平均31岁。2 例为血源性骨髓炎病理性骨折后,股骨、胫骨各1 例;6例为创伤性骨髓炎 后骨折不愈,肱骨1 例,股骨1 例,胫骨4 例;9 例为手术后无感染性骨不连,肱骨2 例,股骨2 例,胫骨5 例;7 例有不同程度畸 形,6例有1.5-8cm骨短缩,其中2例同时行骨痂延长术。结果:全部病人均获随访,随访时间9-20个月,以1975 年天津全国骨科 会议制定的骨折愈合标准为依据,本组17 例病人均获得临床愈合,骨不连处平均愈合时间为4~9 月(平均6.2 月),1 例延长 8cm,另1例延长6cm。结论:利用镶嵌式外固定架治疗长骨骨不连一种简单有效的方法。
英文摘要:
      Objective: To discuss a therapeutic method of long bone nonunion. Methods: From January 2007 to August 2009, with 17 cases of inlaid external fixator in the treatment of long bone nonunion, 11 males and 6 females, aged 16 to 64,average age is 31 years old.2 cases of blood-borne osteomyelitis after pathological fracture, Femur and tibia both had 1 case; 6 cases of post-traumatic osteomyelitis nonunion, humerus in 1 case, 1 case of the femur, 4 cases tibia; 9 cases of without infection after surgery nonunion, 2 cases of humerus , 2 cases of femur, 5 cases of tibial;7 cases of varying degrees of deformity;6 cases had 1.5-8cm bone shortening,2 of them callotasi. Result: All patients were followed up for 9-20 months,to the National Orthopaedic Conference in Tianjin in 1975 to develop standards as the basis of fracture healing, all 17 patients in this group were clinically cured,the part of nonunion healing time needs 4 to 9 months (average 6.2 months), One lengthened 8cm, the other one lengthened 6cm. Conclusion: The treatment of using inlaid external fixator for long bone nonunion is a simple and effective method.
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