逆行髓内钉结合植骨治疗肱骨中远段骨折术后不愈合Treatmcnt of postoperative non-union of distal humeral fracture with retrograde intramedullary nailing combined with bone graft
冯和林;李增炎;张英泽;彭阿钦;
摘要(Abstract):
[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(KeyWords): 肱骨;内固定;不愈合;髓内钉;植骨
基金项目(Foundation):
作者(Author): 冯和林;李增炎;张英泽;彭阿钦;
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DOI:
参考文献(References):
- [1]胥少汀.实用骨科学[M].北京,人民军医出版社,2002:341.
- [2]杨辉,付海鹰.肱骨干骨折国外治疗现状[J].中国矫形外科杂志,2003,11:781-783.
- [3]王亦璁.骨与关节损伤[M].第3版.北京,人民卫生出版社,2003.565.
- [4]Flinkk ila T,R istin iem i J,Hamalainen M.Nonun ion after intram ed-u llary nailing of hum eral fractures[J].J Trauma,2001,50:540-544.
- [5]康庆林,张春才,戴力扬.生物学内固定概念原理与方法[J].中国矫形外科杂志,2003,3:270-273.
- [6]沈洪兴,张春才.肱骨干骨不连的病因和预防[J].中国骨伤,2003,16(8):500-502.
- [7]Janzing HM,Stockman B,Van Damm e G,et al.The retrograde intr-am edu llary supracondylar nail:an alternative in the treatm ent of d istalfemoral fractures in the elderly?[J].Arch O rthop Trauma Surg,1998,118:92-95.
- [8]Rob inson CM,Bell KM,Court-B rown CM,et al.Locked nailing ofhum eral shaft fractures.Experience in Ed inburgh over a two-year pe-riod[J].J Bone Joint Surg(B r).1992,74:558-562.
- [9]Martinez AA,Herrera A,Cuenca J.Good resu lts w ith unream ed nailand bone grafting for hum eral nonun ion:a retrospective study of 21patients[J].Acta O rthop Scand,2002,73:273-276.
- [10]Strothman D,Templeman DC,Varecka T,et al.Retrograde nailing ofhum eral shaft fractures:a b iom echan ical study of its effects on thestrength of the d istal hum erus[J].J O rthop Trauma,2000,14:101-104.