尺桡骨双骨折术后骨折不愈合的病因及应对措施

Etiology and countermeasures of postoperative nonunion for double fracture of the radius and ulna

目的：探讨尺桡骨双骨折术后骨折不愈合的病因及应对措施。方法选取2011年1月至2014年1月尺桡骨双骨折术后骨折不愈合患者30例，随机分为两组，每组15例。观察组行系统积极的应对治疗，对照组行常规治疗，比较两组治疗效果，并分析其病因。结果愈合优良率：观察组为86.67％，对照组为53.33％，两组比较差异有统计学意义（P＜0.05）；愈合时间与前臂旋转功能：观察组优于对照组，差异有统计学意义（P＜0.05）。结论尺桡骨双骨折术后骨折不愈合主要受局部软组织条件、骨折损伤程度、内固定方法、早期活动及感染等因素的影响较大，临床给予系统积极的应对治疗，可显著改善预后。

Objective To investigate the etiology and countermeasures of postoperative nonunion for double fracture of the radius and ulna .Methods From January 2011 to January 2014, 30 patients with fracture nonunion for double fracture of the radius and ulna were selected, and they were randomly divided into two groups, with 15 cases in each group.Observation group was given positive response systems therapy, control group was given routine treatment, the effects of the two groups were compared, and analyzed the etiology.Results Excellent healing rate in observer group was 86.67% and 53.33% in control group, the former was significantly higher, there was significant difference（P〈0.05）;the healing time and forearm rotation in observation group were better than those in control group, there were significant differences（P〈0.05）.Conclusions Radius and ulna double fracture nonunion after a greater impact mainly by local soft tissue conditions , fracture injury, internal fixation, early mobilization and infection factors, positive response systems therapy can significantly improve the prognosis.