带蒂骨痂植骨交锁髓内钉内固定治疗胫骨硬化型骨不连

目的]观察交锁髓内钉内固定、带蒂骨痂和自体髂骨植骨术治疗胫骨硬化型骨不连的临床疗效.方法]本组胫骨硬化型骨不连12例,男8例,女4例;年龄26～64岁,平均45岁,全部采用开放置入交锁髓内钉内固定、带蒂骨痂和自体髂骨植骨术治疗.结果]经12～72个月,平均48个月的随访,所有病例均于4～6个月内获得骨性愈合.结论]交锁髓内钉内固定、带蒂骨痂和自体髂骨植骨术治疗胫骨硬化型骨不连具有：（1）合理的生物力学设计;（2）抗骨折旋转及短缩功能;（3）对局部血运破坏小;（4）带蒂骨痂植骨的＂架桥＂作用和自体髂骨植骨的成骨作用促进骨愈合,值得推荐使用.

Treatment of hyperplastic nonunion of the tibia with interlocking intramedullary nailing, fascia pedicled callus flap and bone grafting

Objective] To observe the clinical effect of the treatment of hyperplastic nonunion of the tibia with interlocking intramedullary nailing, fascia pedicled callus flap and bone grafting. Method] Twelve cases of nonunion of the tibia were treated with intramedullary interlocking nailing,fascia pedicled callus flap and bone grafting,and there were 8 males and 4 females. The patients age ranged from 26 to 64 years, with an average of 45 years. Result] All cases were followed-up for an average of 48 months and achieved a solid union within 4 -6 months. Conchlsion] Intramedullary interlocking nailing, fascia pedicled callus flap and bone grafting have the design of the reasonable biomechanics, the function of untispinning and unticurtailing,less partial blood decompose. The fascia pedicled callus flap and iliac bone grafting could result in solid union and it is a recomment method for promoting bone-healing up after grafting and forming.