生物骨科材料与临床研究2018，Vol.15Issue(3)：23-28,6.DOI:10.3969/j.issn.1672-5972.2018.03.006
可注射型人工骨与异体松质骨治疗骨质疏松性胫骨平台Schatzker Ⅱ型骨折的植骨效果比较
Comparison of bone grafting effect in Schatzker Ⅱ osteoporotic tibial plateau fractures between injectable artificial bone and allograft bone
张爱玲 1吕辉照 1赵枫 1曹杰 1李萍 1陈少婷1
作者信息
- 1. 解放军第180医院骨二科,福建 泉州,362000
- 折叠
摘要
Abstract
Objective To compare the effect of bone graft in osteoporotic tibial plateau fractures with type Ⅱ according Schatzker classfication between injectable artificial bone and allograft bone. Methods Between Aug 2015 andMar 2017, 43 patients of osteoporotic tibial plateau fractures with type Ⅱ underwent open reduction and internal fixation with bone grafting. All patients were divided into two groups, there were 17 cases in treatment group underwent Genex-S injectable artificial bone grafting, and 26 cases in control group underwent allograft bone grafting. Knee posteroanterior and lateral X-ray and bone density test were obtained at first week, 3 months, 6 months and 12 months postoperation, and sink height of lateral articular facet of tibial plateau, height of lateral knee space, angle of lateral knee space and bone density of grafting area were recorded. Results There was significant difference in sink height of lateral articular facet of tibial plateau, height of lateral knee space and angle of lateral knee space between treatment group (1. 8 mm±0. 7 mm, 0. 20 mm±0. 10mm and 4. 62°±0. 41°) and control group (8. 4mm±1. 7 mm, 0. 94 mm±0. 31 mm and 11. 85°±0. 60°) 12 months postoperatively (P<0. 01). There was significant difference in bone density T score at postoperation, 3 months, 6 months and 12 months postoperatively between treatment group and control group (P<0. 01). Conclusion The intension and stability of injectable artificial bone is better than allograft bone in osteoporotic tibial plateau fractures with type Ⅱ according Schatzer classfication. The injectable artificial bone probably apply to prop graft in osteoporotic fractures.关键词
骨质疏松性骨折/胫骨平台骨折/可注射型人工骨/异体松质骨Key words
Osteoporotic fracture/Tibial plateau fracture/Injectable artificial bone/Allograft bone分类
医药卫生引用本文复制引用
张爱玲,吕辉照,赵枫,曹杰,李萍,陈少婷..可注射型人工骨与异体松质骨治疗骨质疏松性胫骨平台Schatzker Ⅱ型骨折的植骨效果比较[J].生物骨科材料与临床研究,2018,15(3):23-28,6.
