不同范围的骨膜剥离对股骨干骨折愈合的影响

Effects of stripping different range of periosteum on the union of femoral shaft fractures

目的 :探讨不同范围的骨膜剥离对股骨干骨折愈合的影响。 方法 :应用接骨板治疗股骨干骨折 42例 ,随机采用常规或有限的骨膜剥离后 ,行复位和接骨板固定。 结果 :采用有限骨膜剥离方法 ,其骨痂出现早 ,新骨形成量多 ,愈合时间缩短 ,骨延迟愈合及畸形愈合的发生率低。 结论 :骨断端骨膜的完整性对股骨干骨折的愈合有重要影响 ,在解剖复位的过程中 ,应尽可能避免广泛骨膜剥离。

Objectives:To study the effects of stripping different range of periosteum on the union of femoral shaft fractures. Methods: Forty two cases of femoral shaft fractures were treated randomly by reduction and plate fixation after routine or limited periosteum stripping. Results: In the group of limited periosteum stripping, there were earlier emergences of bony callus, larger quantities of new bones, shorter healing time and less rate of complications including bone delayed union and bone malunion than those routine periosteum stripping. Conclusions:The intact periosteum plays an important role in the union of femoral shaft fractures, thus extensive periosteum stripping should be avoided in the proceeding of pursuing anatomical reductions.