LCP结合自体髂骨联合RBX植骨治疗非感染萎缩型肱骨干骨不连的体会

The Efficacies and Experience of LCP combined with ICBG and RBX in the Treatment of Non-infective Atrophic Humeral Shaft Nonunion

目的:探讨锁定加压钢板(Locked compression plate,LCP)结合自体髂骨联合重组合异种骨(recombinant bone xenograft,RBX)植骨治疗非感染萎缩型肱骨干骨不连的疗效及相关体会。方法:于2009年2月-2015年9月期间,应用LCP结合自体髂骨联合RBX植骨治疗了15例非感染萎缩型肱骨干骨不连。结果:本组获随访9-29个月,骨不连均获得愈合。肩关节功能优良率86.7%,肘关节功能优良率100%。结论:依据本组研究及相关文献报道,LCP结合自体髂骨植骨联合RBX植骨可提高骨不连愈合率。

Objective： To discuss the efficacies of locked compression plate（LCP） combined with iliac crest bone graft（ICBG） and recombinant bone xenograft（RBX） in the treatment of non-infective atrophic humeral shaft nonunion, and take the experience at the same time. Methods： 15 patients suffered with non-infective atrophic humeral shaft nonunion are treated with LCP combine with ICBG and RBX in our institution from February 1, 2009 until September 1, 2015. Results： The follow-up time of these 15 patients was 9-29 months. The total rate of fracture reunion rate was 100%. The excellent and good rate of shoulder function is 86.7%, the excellent and good rate of elbow fimction is 100%. Conclusion： According to the study and related literatures, LCP combine with ICBG and RBX is an effective method to improve the union rate of non-infective atrophic humeral shaft nonunion.