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逆行髓内钉结合植骨治疗肱骨中远段骨折术后不愈合
引用本文:冯和林,李增炎,张英泽,彭阿钦.逆行髓内钉结合植骨治疗肱骨中远段骨折术后不愈合[J].中国矫形外科杂志,2006,14(4):254-256.
作者姓名:冯和林  李增炎  张英泽  彭阿钦
作者单位:河北医科大学第三医院,骨科创伤急救中心,石家庄,050051
摘    要:目的]探讨肱骨干中远段骨折内固定术后不愈合的原因及对策。方法]2000年1月~2005年1月治疗肱骨干中远段骨折内固定术后不愈合27例,取出原有内固定后应用逆行髓内钉结合植骨治疗。结果]随访6~32个月,平均16个月。骨折均愈合,患肢关节功能恢复良好,无伤口感染、髓内钉断裂及肱骨远端骨折等并发症。结论]逆行髓内钉结合植骨是治疗肱骨干中远段骨折内固定术后不愈合的一种有效方法。

关 键 词:肱骨  内固定  不愈合  髓内钉  植骨
收稿时间:2005-08-29
修稿时间:2005年8月29日

Treatmcnt of postoperative non-union of distal humeral fracture with retrograde intramedullary nailing combined with bone graft
FENG He-lin, Li Zeng-yan, ZHANG Ying-ze,et al..Treatmcnt of postoperative non-union of distal humeral fracture with retrograde intramedullary nailing combined with bone graft[J].The Orthopedic Journal of China,2006,14(4):254-256.
Authors:FENG He-lin  Li Zeng-yan  ZHANG Ying-ze  
Institution:Emergency Center of Injury,The Third Affiliated Hospital of Hebei Medical University, Shijiazhuang , Hebei 050051
Abstract: Objective ] To explore a new therapy for postoperative non-union distal humeral frature. Method ] From January 2000 to January 2005,27 cases of non-union after internal fixation operations of distal humeral fractures were treated with retrograde intramedullary nailing combined with bone graft. Result] All cases were followed up form 6 months to 32 months ,with an average of 16 months. All the non-unlon were healed and joint function resumed to normal. No infection, no nail and locking bolts broken and no humeral distal fracture were found. Conclusion] Retrograde intramedullary nailing combined with bone graft is an effective therapy for postoperative non-unlon of distal humeral fracture.
Keywords:Humerus  Internal fixation  Non-union  Retrograde intramedullary nailing  Bone graft
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