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| 锁定加压接骨板结合自体髂骨移植治疗无菌性尺骨干骨不连的结果分析 | |
| 引用本文： | 冯东旭,孙亮,冯伟楼,张堃,李树灏,黄伟,朱养均,赵赞栋. 锁定加压接骨板结合自体髂骨移植治疗无菌性尺骨干骨不连的结果分析[J]. 中国骨伤, 2019, 32(12): 1160-1164 |
| 作者姓名： | 冯东旭 孙亮 冯伟楼 张堃 李树灏 黄伟 朱养均 赵赞栋 |
| 作者单位： | 西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054,西安交通大学附属红会医院骨科, 陕西 西安 710054 |
| 摘 要： | 目的 :探讨锁定加压接骨板结合自体髂骨移植治疗无菌性尺骨干骨不连的临床治疗结果。方法 :自2009年3月至2017年7月,对取得完整随访资料的22例无菌性尺骨干骨不连患者实施手术治疗,其中男12例,女10例;年龄16～58(39.7±9.9)岁;病程10～192(39.4±55.7)个月。萎缩型骨不连15例,肥大型骨不连5例,滑膜假关节型骨不连2例。骨不连断端清创后给予锁定加压接骨板固定,并给予自体髂骨植骨。对骨愈合率、手术并发症和临床结果进行评价。结果:所有患者获得随访,时间13～42(22.5±8.2)个月,1例未愈合。视觉模拟疼痛评分0～3(0.9±0.9)分,前臂旋前47～86(69.0±14.7)°,旋后35～85(63.0±9.4)°,腕关节伸直20～80(51.0±10.2)°,腕关节屈曲32～88(71.0±11.7)°,肘关节屈曲挛缩0～25(9.0±5.6)°,进一步屈曲105～150(134.0±13.9)°,手部抓握力为对侧的87%。根据Anderson功能评分标准,优8例,满意11例,不满意2例,失败1例。结论:锁定加压接骨板结合自体髂骨移植可以有效治疗无菌性尺骨干骨不连。 |
| 关 键 词： | 尺骨 骨折,不愈合 外科手术 |
| 收稿时间： | 2019-07-25 |
Treatment of aseptic ulnar diaphyseal nonunion with locking compression plate and autogenous iliac bone graft |
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| FENG Dong-xu,SUN Liang,FENG Wei-lou,ZHANG Kun,LI Shu-hao,HUANG Wei,ZHU Yang-jun and ZHAO Zan-dong. Treatment of aseptic ulnar diaphyseal nonunion with locking compression plate and autogenous iliac bone graft[J]. China journal of orthopaedics and traumatology, 2019, 32(12): 1160-1164 | |
| Authors: | FENG Dong-xu SUN Liang FENG Wei-lou ZHANG Kun LI Shu-hao HUANG Wei ZHU Yang-jun ZHAO Zan-dong |
| Affiliation: | Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China,Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China and Department of Orthopaedics, Honghui Hospital Affiliated to Xi''an Jiaotong University, Xi''an 710054, Shaanxi, China |
| Abstract: | Objective: To investigate the clinical results of locking compression plate combined with autologous iliac bone graft in the treatment of aseptic ulnar nonunion. Methods: From March 2009 to July 2017,22 patients with aseptic ulnar diaphyseal nonunion with complete follow-up data were treated with surgery,including 12 males and 10 females,aged from 16 to 58 (39.7±9.9) years old and ranging in course of disease from 10 to 192 (39.4±55.7) months. There were 15 atrophic nonunions,5 hypertrophic nonunions and 2 synovial pseudo-articular nonunions. After debridement of the nonunion,locking compression plate was used to fix the nonunion and autogenous iliac bone graft was given. Bone healing rate,surgical complications and clinical results were evaluated. Results: All the patients were followed up,and the duration ranged from 13 to 42 months,with a mean of (22.5±8.2) months,and 1 patient did not heal. Visual analogue pain scores ranged from 0 to 3 (0.9±0.9). Pronation of forearm was 47 to 86 (69.0±14.7) degrees,supination was 35 to 85 (63.0±9.4) degrees,wrist flexion was 20 to 80 (51.0±10.2) degrees,wrist flexion was 32 to 88 (71.0±11.7) degrees,elbow flexion contracture was 0 to 25 (9.0±5.6) degrees,further flexion was 105 to 150 (134.0±13.9) degrees,and grip strength was 87% on the opposite side. According to the Anderson scoring system,8 cases were excellent,11 were satisfied,2 were not satisfied,and 1 was failed. Conclusion: LCP combined with autologous iliac bone graft can effectively treat aseptic ulna diaphyseal nonunion. |
| Keywords: | Ulna fractures Fractures,ununited Surgical procedures,operative |
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