环抱式接骨板与骨粘胶治疗四肢长骨干粉碎性骨折疗效评价

Reviewuation on the Effectiveness of the Encircled Bone Fracture Plate(EBFP) and the Bone Viscose for the Treatment of the Comminuted Fracture of Long Bones

目的 评价环抱式接骨板与骨粘胶联合治疗四肢长骨干粉碎性骨折的疗效。方法 骨粘胶粘接骨碎块 ,环抱式接骨板固定骨折端 ,切开复位内固定治疗四肢长骨干粉碎性骨折 35例。结果 35例 38处上下肢骨干粉碎骨折 ,经 1～ 2年随访 ,均在术后 3个月内愈合 ,功能恢复良好 ,无接骨板断裂及再骨折。结论 该接骨板不钻孔 ,不用螺钉 ,对髓内血管及骨内膜无损伤 ,固定可靠。骨粘胶粘接强度大 ,粘接骨块可靠 ,有止血护创等作用。两者联合应用 ,缩短了手术时间。但此法不适用于扁平骨及干骺段等不规则部位骨折 ,且取出比普通接骨板较难。

Objective To reviewuate the effect of using the EBFP and the bone viscose for the treatment of the comminuted fractures of diaphysis of the long bones.Methods 35 cases of comminuted fractures were treated by open reduction,the bone fragments were fixed together with the use bone viscose and the bone fragments were fixed with EBFP.Results The period of follow up was 1～2 years,35 cases with 38 limbs diaphysis commuted fractures were healed in three months with well restored function,and without refracture or loosening of the EBFP.Conclusion EBFP has the advantages of fixation without the drilling holes,no screws are used,the fixation is firm giving no trauma of intramedullary blood vessels and endosteum.The bone viscose clings firmly and has the effect of arresting bleeding and protecting wounds.The combined application of bone viscose and EBFP can shorten the operation time.This method is not suitable for the fracture of irregular bones such as flat bones,metaphysis of long etc.The removal of this kind of plate is more difficult than that of the commonly used plate.