应用骨板结合钢板治疗股骨压力侧骨缺损骨折

目的 应用骨板结合钢板治疗压力侧皮质缺损的股骨干骨折,观察其治疗效果.方法 合并内侧皮质缺损的股骨干骨折13例,均合并有颅脑或（和）胸部外伤.骨折内侧应用异体骨板,外侧应用钢板内固定,术后观察其成骨效果.结果 13例伤口无感染,均一期愈合.术后3～4个月,骨折处有连续骨小梁通过,骨板与宿主骨愈合良好.结论 对有内侧皮质缺损的股骨干骨折,应用骨板重建结合钢板内固定是一种有效的治疗方法.

The Application of Bone Board Combined with Plate Fixation in the Treatment of Femoral Shaft Fracture with the Compression Side Defect

Objective To observe the effect of applying of medial bone board combined with plate fixation in the treatment of femoral shaft fracture with the compression side defect. Methods Severe brain or breast injury were all be found in 13 patients with femoral shaft fracture with the compression side defect. The bone board was applied in medial side. And plate was applied in lateral side. The effect was observed after operation. Results No wound infection happened in the 13 patients. And all wounds healed up in Stage I. Continued trabeculae was formed after 3 - 4 months of operation. The combination between bone board and host was satisfied. Conclusion It is a kind of effective method that the bone board is applied in medial side of femoral shaft combined with plate fixation in the treatment of femoral shaft fracture with the compression side.