本文選題：雙鋼板 + 股骨干骨折　； 參考：《新疆醫(yī)科大學》2015年碩士論文

【摘要】：目的：分析雙鋼板固定聯(lián)合顆粒植骨修復股骨干骨折術后骨不連的臨床效果。方法：自2010年6月至2012年8月應用雙鋼板加顆粒植骨修復非感染性股骨干骨折術后骨不連患者14例,男9例,女5例；年齡22-49歲,平均36.2歲；其中多次內(nèi)固定(包括鋼板、髓內(nèi)釘及髓內(nèi)釘動力化)失敗9例,初次內(nèi)固定(鋼板固定或髓內(nèi)釘固定)后骨不連接5例。根據(jù)Judet分類法分型：肥大型8例,萎縮性6例。骨不連病程11～46個月,平均26.2個月。術后定期隨訪,觀察雙鋼板固定聯(lián)合植骨對股骨干骨折術后骨不連的修復效果。結果：全部患者隨訪10～25個月,骨不連均在4～7個月骨性愈合,平均愈合時間5.2個月。無切口感染,內(nèi)固定物松動及斷裂等并發(fā)癥。結論：雙鋼板固定聯(lián)合顆粒植骨具有三維立體固定,穩(wěn)定性強,可充分髓內(nèi)植骨等特點,符合骨折愈合所需要的力學環(huán)境,操作簡便,術中軟組織與骨膜剝離及血運破壞適當,術后并發(fā)癥少。提示雙鋼板固定聯(lián)合顆粒植骨能有效修復股骨干骨折術后骨不連。
[Abstract]:Objective: to analyze the clinical effect of double plate fixation combined with granular bone graft in the repair of nonunion after femoral shaft fracture. Methods: from June 2010 to August 2012, 14 patients (9 males and 5 females) with non-infectious femoral shaft fractures were treated with double-plate and grafted bone graft, aged 22-49 years (mean 36.2 years). The failure of intramedullary nail and intramedullary nailing was found in 9 cases, and nonunion was found in 5 cases after primary internal fixation (plate fixation or intramedullary nail fixation). According to Judet classification, 8 cases were large fat, 6 cases were atrophic. The course of nonunion was 11 ~ 46 months (mean 26.2 months). To observe the effect of double plate fixation combined with bone graft in repairing nonunion of femoral shaft fracture. Results: all the patients were followed up for 10 ~ 25 months. The bone nonunion was healed in 4 ~ 7 months with an average healing time of 5.2 months. No incision infection, internal fixation loosening and fracture and other complications. Conclusion: double plate fixation combined with granular bone grafting has the characteristics of three-dimensional fixation, strong stability, sufficient intramedullary bone grafting, and so on. It conforms to the mechanical environment needed for fracture healing, is easy to operate, and is suitable for dissection of soft tissue and periosteum and blood circulation damage during operation. Postoperative complications were less. The results suggest that double plate fixation combined with granular bone grafting can effectively repair nonunion after femoral shaft fracture.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3
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本文編號：1876200