下肢髓内钉术后非感染性骨不连的对策:内植骨结合阻挡钉技术Strategy for aseptic shaft nonunion of the lower extremities after intramedullary nailing:internal bone grafting combined with blocking screws
王秋根;高堪达;高伟;王建东;陶杰;李豪青;李凡;吴晓明;吴小峰;朱宗昊;
摘要(Abstract)：
[目的]分析下肢骨干骨折髓内钉术后非感染性骨不连的原因,观察内植骨结合阻挡钉技术治疗这类骨不连的疗效。[方法]对12例下肢骨干骨折髓内钉治疗术后并发非感染性骨不连的患者(其中股骨5例,胫骨7例;肥大型8例,萎缩性4例),采用稳定骨断端(更换更粗髓内钉+阻挡钉)、矫正骨畸形(阻挡钉+复位器)以及增强骨愈合能力(内植骨技术)的办法,观察其疗效。[结果]术后随访1~2年(平均1.5年)。所有患者最终获得骨性愈合,愈合率100%,愈合时间4.7~13.5个月,平均7.8个月。所有患者主观疼痛症状消失,无明显并发症发生。[结论]内植骨结合阻挡钉技术是一种治疗下肢骨干骨折髓内钉术后非感染性骨不连的有效方法。
关键词(KeyWords)： 胫骨干骨折;股骨干骨折;非感染性骨不连;髓内钉;内植骨;阻挡钉
基金项目(Foundation):
作者(Author): 王秋根;高堪达;高伟;王建东;陶杰;李豪青;李凡;吴晓明;吴小峰;朱宗昊;
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DOI:
参考文献(References)：
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