同种异体皮质骨板结合钢板治疗股骨粉碎性骨折

Use of Allograft Cortical Bone Plates and Armor Plate for Reconstruction of Comminuted Fracture of Femur

目的探讨同种异体皮质骨板结合钢板治疗股骨粉碎性骨折的疗效。方法对我院收治56例股骨粉碎性骨折的临床资料进行回顾性分析。自2007年8月以来,共收治股骨严重粉碎性骨折56例,全部患者采用钢板加对侧同种异体皮质骨板一体化固定。结果56例患者全部获得随访,时间为6～25个月,平均15个月,最终获骨折愈合。X线显示:同种异体骨板与宿主骨整合,骨折线消失。结论同种异体皮质骨板结合钢板治疗股骨粉碎性骨折是一种有效的治疗方法,移植骨板与宿主骨整合后能增加局部骨量储备,增强股骨强度。

Objective To evaluate effectiveness of allograft cortical bone plate and armor plate in comminuted fracture of femur. Methods A retrospective study of 56 patients recorded in our department from 2007. All the patients were treated by allograft cortical bone plate and armor plate. Results All cases were followed up for 6 months to 25 months,the average follow up duration 15 months,all cases of bone fracture were healed,the allograft cortical bone plates is incorporated in the host bone and X-ray displaying fractional line disappeared. Conclusion the treatment of comminuted fracture of femur with allograft cortical bone plate and armor plate is a reliable treatment, and it can increase bone reservation and augment the strength of femur once the allograft strut is incorporated in the host bone.