锁定加压接骨板治疗股骨远端良性骨肿瘤刮除植骨术后早期病理骨折的临床初步探讨The clinical efficacy of locking compression plate in early stage pathological fracture after curettage and grafting of the benign distal femur tumor
赵军;杨蕴;韩秀鑫;张瑾;廖智超;杨吉龙;邢汝维;
摘要(Abstract):
[目的]探讨锁定加压接骨板治疗股骨远端良性骨肿瘤刮除植骨术后早期病理骨折的临床疗效。[方法]2006年3月~2010年3月,本科共收治11例股骨远端良性骨肿瘤刮除植骨术后早期病理骨折患者,男7例,女4例;年龄16~61岁,平均:42.7岁。原发肿瘤类型:内生软骨瘤2例;原发骨巨细胞瘤1例,软骨母细胞瘤4例,软骨粘液性纤维瘤3例,嗜酸性肉芽肿1例;自刮除植骨术后至发生骨折时间21~36 d,平均:22.3 d。AO股骨远端骨折分类:均为A1型,均行锁定加压接骨板(locking compression plate,LCP)内固定+植骨术治疗。[结果]1例发生浅表伤口感染,1例术后腘静脉血栓,治疗后好转。所有患者未发生免疫排斥反应,骨折复位丢失,内固定松动、折断,再骨折,肿瘤复发,继发性关节炎等合并症。随访时间12~61个月,平均34.4个月。膝关节功能均恢复至正常活动范围,屈曲120°~135°,过伸0°~5°;MSTS下肢评分28~30分,平均28.9分。[结论]锁定加压接骨板能够满足对此类特殊骨折治疗的要求,特别是利用内固定支架的特性,固定后仍能完成充分植骨的操作,并尽可能的减少二次手术对局部骨折端组织的损伤。内固定力学性能合理,固定可靠,有助于骨折愈合和瘤腔植骨的修复,并可适当的进行早期功能练习,恢复膝关节功能,是治疗良性骨肿瘤刮除植骨术后早期病理骨折有效的内固定方法。
关键词(KeyWords): 肿瘤;股骨远端;骨折;锁定加压接骨板
基金项目(Foundation):
作者(Author): 赵军;杨蕴;韩秀鑫;张瑾;廖智超;杨吉龙;邢汝维;
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参考文献(References):
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