生物骨科材料与临床研究2018,Vol.15Issue(3):50-51,56,后插4,4.DOI:10.3969/j.issn.1672-5972.2018.03.013
交锁髓内钉结合结构性加压植骨治疗股骨干骨不连
Clinical effect of interlocking intramedullary nail combined with structural compression bone grafting for nonunion of femoral shaft: a new method of bone grafting
摘要
Abstract
Objective To observe the clinical effect of interlocking intramedullary nail combined with bone grafting used for treatment of femoral nonunion. Methods In this study, we describe a novel approach of bone grafting harvest from the autogenous ilium. Twelve patients (nine men, three women, average age 43. 6 years) with nonunion of femur were treated with interlocking intramedullary nail combined with structural compression bone grafting. Results After an average follow-up of 11. 2 (6 ~ 18) months, all patients achieved radiographic evidence of solid union. The healing rate is 100%. All patients demonstrated radiographic evidence of bone healing with an average follow-up of 25. 6 weeks(range 16 ~ 40 weeks). No failure occurred due to bent or broken nail, intramedullary nails or bone grafting. Conclusion Treatment of nonunion of femur with interlocking intramedullary nail combined with structural compression bone grafting is an effective option. The technique of bone grafting we described is an ideal method for femur nonunion.关键词
自体骨移植/股骨/骨不连/交锁髓内钉Key words
Autogenous bone graft/Femur/Nonunion/Interlocking intramedullary nail分类
医药卫生引用本文复制引用
徐飞,王体沛,陈安民,罗政强..交锁髓内钉结合结构性加压植骨治疗股骨干骨不连[J].生物骨科材料与临床研究,2018,15(3):50-51,56,后插4,4.基金项目
国家卫生计生委医药科技发展研究中心资助项目(课题编号: 2017ZX-01S-003) (课题编号: 2017ZX-01S-003)