临床骨科杂志2017,Vol.20Issue(5):623-625,3.DOI:10.3969/j.issn.1008-0287.2017.05.045
桥接组合式内固定系统治疗长骨骨折术后骨不连
Application of bridge combined fixation system in nonunion of limbs long bone fracture after surgery
张会增 1张同润 1马楠 1睢更义 1刘玉波1
作者信息
- 1. 邢台矿业集团总医院骨四科,河北邢台054000
- 折叠
摘要
Abstract
Objective To investigate the application curative effect of bridge combined fixation system for treatment of nonunion of limbs long bone fracture after surgery.Methods The 25 cases of nonunion with femur,tibia and humerus were treated with cortical stripping Phemister bone grafting and bridging combined internal fixation system.Resuits All 25 cases were followed up for 12 ~ 18 months.All fractures of healing time was 6 ~ 11 months.No bone infection,internal fixation loose,fall off,broken rods,broken nails and joint stiffness occurred.Limb function was evaluated by using Sanders standard,excellent in 23 cases,good in 1 case,fair in 1 case,excellent-good rate was 96% (24/25).Conclusions The bridge combined fixation system is accorded with the feature of fracture biomechanical fixation,and a blend of locking plate,interlocking intramedullary nail and external fixator,which reduce the breakage of vessels near fracture part,but also afford firm and dynamic fixation for fracture fragmen.So it is an effective therapeutic approach for limbs long bone fractures.关键词
桥接组合式内固定系统/Phemister植骨/骨不连Key words
bridge combined fixation system/Phemister bone graft/nonunion分类
医药卫生引用本文复制引用
张会增,张同润,马楠,睢更义,刘玉波..桥接组合式内固定系统治疗长骨骨折术后骨不连[J].临床骨科杂志,2017,20(5):623-625,3.