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骨皮质剥脱术治疗四肢长骨干骨不连的疗效观察
引用本文:康庆林,宋文奇,陈宇杰,潘垚,柴益民,曾炳芳.骨皮质剥脱术治疗四肢长骨干骨不连的疗效观察[J].上海交通大学学报(医学版),2008,28(12):1510-1512.
作者姓名:康庆林  宋文奇  陈宇杰  潘垚  柴益民  曾炳芳
作者单位:上海交通大学第六人民医院骨科,上海200233
摘    要:目的探讨骨皮质剥脱术对四肢长骨干骨不连的治疗作用。方法采用骨皮质剥脱术治疗53例(58根长骨)骨不连,其中7例患者伴有肢体畸形,38例患者同时接受骨移植手术;观察骨愈合时间、畸形矫正及功能恢复情况。结果随访3~24个月,平均13个月。患者均1次手术成功,骨愈合时间3~12个月,平均6个月,均经X线或CT证实。7例患者肢体畸形得以矫正,骨不连部位的皮肤无坏死。患肢功能均恢复良好。结论骨皮质剥脱术是治疗骨不连安全、有效的方法。

关 键 词:骨皮质剥脱术  骨不连  骨折愈合  骨移植

Outcome of decortication in treatment of bone shaft nonunion in extremities
KANG Qing-lin,SONG Wen-qi,CHEN Yu-jie,PAN Yao,CHAI Yi-min,ZENG Bing-fang.Outcome of decortication in treatment of bone shaft nonunion in extremities[J].Journal of Shanghai Jiaotong University:Medical Science,2008,28(12):1510-1512.
Authors:KANG Qing-lin  SONG Wen-qi  CHEN Yu-jie  PAN Yao  CHAI Yi-min  ZENG Bing-fang
Institution:Department of Orthopedics;The Sixth People's Hospital;Shanghai Jiaotong University;Shanghai 200233;China
Abstract:Objective To explore the outcome of decortication in the treatment of bone shaft nonunion in extremities.MethodsFifty-three patients with 58 bones shaft nonunion were treated with decortication,among whom 7 were complicated with limb deformity and 38 received bone grafting.The healing time,malformation correction and functional recovery were observed.ResultsThe time of follow-up was 3 to 24 months,with an average of 13 months.Bone union was approved by X ray or CT.The healing time was 3 to 12 months,with an...
Keywords:decortication  nonunion  fracture healing  bone grafting  
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