抗旋钢板治疗股骨干骨折髓内针术后肥大型骨不连临床疗效分析

目的抗旋钢板治疗股骨干骨折骨髓内针术后肥大型骨不连的远期临床疗效分析。方法 2006年5月～2009年10月,15例股骨干髓内钉术后肥大型骨不愈合患者纳入本次研究,几乎所有内固定患者都发生了髓内钉的松动、拔出或折断。15例患者均采用有限切口切开骨折端应用小钢板加植骨治疗。结果 15例患者均获随访,平均随访时间15.8个月(12.0～16.0个月),均获得骨性愈合,平均愈合时间为3.2个月(2～6.2个月)。术后患者切口无感染、内固定松动或断裂、骨折畸形愈合等情况。结论采用微创小钢板、自体松质骨植骨技术是治疗交锁髓内针固定后肥大型骨不连的重要方法,因其满足了骨折端的力学稳定性、血供破坏小、技术成熟、并发症少,值得在临床推广。

Objective To analyze the clinical effect on nonunion of femur shaft fracture treated by interlocking intramedullary nail combined with antirotational-plate in femur shaft fractures. Methods 15 cases of nonunion of femur shaft fracture treated by interlocking intramedullary nail were performed by minimal invasive open reduction, with antirotational-plate in fracture sites and bone graft.Results All of the patients were followed up from 12 to 16 months（averagely 15.8months）.All of the fractures got bone union and union time was ranged from 2 to 6.2 months.No complications were found. Conclusion Interlocking intramedullary nail combined with antirotational-plate and bone graft is effective method for nonunion of femur shaft fracture.Hence,this treatment deserves to be recommended.