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36例长骨骨不连骨缺损的综合治疗
引用本文:韦良臣,魏仲恩,黄华扬,尹庆水. 36例长骨骨不连骨缺损的综合治疗[J]. 实用骨科杂志, 2003, 9(1): 22-23
作者姓名:韦良臣  魏仲恩  黄华扬  尹庆水
作者单位:广州军区总医院,广东,广州,510010
摘    要:目的:探讨四肢长管状骨骨不连、骨缺损的治疗方法。方法:36例骨不连、骨缺损病人采用交锁髓内钉内固定,取自体髂骨植骨及术后经皮注射金葡液等综合治疗。结果:36例术后X线片显示,1个月骨折端周围出现骨痂,3个月有连续骨痂形成,6个月骨折愈合。无内固定物断裂、弯曲和松动,关节活动基本正常。结论:交锁髓内钉内固定、自体髂骨植骨及术后经皮注射金葡液综合治疗骨不连骨缺损,能提供坚强内固定,促进成骨活动,加快骨折愈合,是治疗长骨骨不连骨缺损的较好方法。

关 键 词:长骨骨不连 骨缺损 交锁髓内钉 治疗
文章编号:1008-5572(2003)01-0022-02
修稿时间:2002-09-10

Treatments of Bone Defects and Nonunion in Long Bone Shaft after Fracture
WEI Liangchen,WEI Zhongen,HUANG Huayang,et al. Treatments of Bone Defects and Nonunion in Long Bone Shaft after Fracture[J]. Journal of Practical Orthopedics, 2003, 9(1): 22-23
Authors:WEI Liangchen  WEI Zhongen  HUANG Huayang  et al
Abstract:Objective:To investigate the treatment of bone defects and nonunion in logn bone shaft after fracture.Methods:36 cases of long bone shaft nonunion were treated by interlocking nails with autologous bone grafting and percutaneously injecting of staphylococcing aureus injection.Results:X-ray examination showed that callus appeared 30 days and 60 days after operation.Solid union was achieved in 36 cases 180 days postoperatively with good joint function.Conclusion:The procdure can provide firm internal fixation,improve circulation and activity of osteoblasts in fracture sites and accelerate fracture healing.
Keywords:Nonunion  Bone defect  Interlocking nails  Treatment
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