中国现代手术学杂志2016，Vol.20Issue(2)：111-114,4.DOI:10.16260/j.cnki.1009-2188.2016.02.009
带血管蒂腓骨移植加锁定钢板内固定术治疗肱骨术后大段骨缺损
Vascularized Fibula Grafting plus Locking Plate Internal Fixation for Large Segmental Bone Defects of Humerus
景斗星 1孙军锁 1陈时高 1蔡雅楠 1杨森 1王铁涛1
作者信息
- 1. 陕西省宝鸡市中医医院手足显微骨科,宝鸡721001
- 折叠
摘要
Abstract
Objective To investigate the effect of vascularized fibula grafting plus internal fixation of locking plate for treatment of large bone defects of humerus.Methods The clinical data of 7 cases with large segment bone defect of the humerus from January 2010 to January 2014 in our hospital were analyzed retrospectively.The length of bone defect was 6 to 10 cm with an average of 8.8 cm.Results All cases were followed up for 6 to 24 months,and all the skin flaps and fibula flap were survived.The X-ray showed no absorption,hardening and destruction of the grafting fibula was found,and the fracture lines disappeared and the bone was healed during 2 to 6 months after the surgery,with an average of 4.1 months.3 cases of the fibula had been enlarged.Both the Neer score of shoulder joint function and the Mayo score of elbow joint function after the surgery were significantly better than those before the surgery,the difference was statistically significant (P ＜0.05).Conclusion The surgery of vascularized fibula transplantation plus internal fixation of locking plate can achieve an ideal clinical effect for large segment humerus bone defect based on skilled surgical operating and sacrifice of unilateral fibula,so larger specimen and longer follow-up is necessary to further research.关键词
骨缺损/骨移植/腓骨/肱骨/内固定Key words
bone defect/bone transplantation/fibula/humerus/internal fixation分类
医药卫生引用本文复制引用
景斗星,孙军锁,陈时高,蔡雅楠,杨森,王铁涛..带血管蒂腓骨移植加锁定钢板内固定术治疗肱骨术后大段骨缺损[J].中国现代手术学杂志,2016,20(2):111-114,4.
