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单臂外固定支架联合植骨治疗胫骨骨折骨不连
引用本文:王延志,徐珞.单臂外固定支架联合植骨治疗胫骨骨折骨不连[J].中国矫形外科杂志,2006,14(18):1375-1377.
作者姓名:王延志  徐珞
作者单位:1. 青岛大学医学院病理生理教研室,青岛,266021;泰安市中心医院骨科,山东,泰安,271000
2. 青岛大学医学院病理生理教研室,青岛,266021
基金项目:国家自然科学基金;山东省青岛市科技局资助项目
摘    要:目的]探讨单臂外固定支架联合植骨治疗胫骨骨折骨不连的优越性、安全性及疗效。方法]自1996年以来应用单臂外固定支架治疗胫骨骨折骨不连43例,通过断端创新,自体髂骨植骨和轴向加压促进骨折愈合,早期活动以恢复关节功能。结果]经术后6~15个月、平均10.3个月的随访,43例均获临床愈合,愈合时间为4—12个月,平均6.8个月,功能评价优35例,良7例,差1例。结论]单臂外固定支架联合植骨治疗胫骨骨折骨不连,自体髂骨植骨和轴向加压促进骨折愈合,早期无痛关节活动有利于关节功能恢复,是一种即简便又切实可行的治疗方法。

关 键 词:单臂外固定支架  胫骨骨折  骨不连  植骨  轴向加压
文章编号:1005-8478(2006)18-1375-03
收稿时间:2006-06-20
修稿时间:2006-06-23

External fixators combined with spongy bone implant in treatment of tibia fracture nonunion
WANG Yan-zhi,XU Luo.External fixators combined with spongy bone implant in treatment of tibia fracture nonunion[J].The Orthopedic Journal of China,2006,14(18):1375-1377.
Authors:WANG Yan-zhi  XU Luo
Affiliation:THe Department of Pathophysiology, Medical College of Qingdao University, Qingdao 266021, China
Abstract: Objective ] To investigate a minimally invasive, safe and effective method for treating the nonunion of tibia fracture with Bastianti external fixators. Method ] Bastianti external fixators were used to treat nonunion tibia fracture with axial force followed by functional exercises in early stage. Result] All cases showed tibia fracture union in 4 - 12 months after operation. According to the criterion of treatment effects, 35 cases were as excellent, 7 as good, and 1 as poor. Conclusion] It is a good method that nonunion of tibia fracture was treated with Bastianti external fixators for maintaining pain - free joint activity and joint functional recovery in early stage.
Keywords:bastianti external fixators  fracture nonunion  bone implant  axial force
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