36例长骨骨不连骨缺损的综合治疗

Treatments of Bone Defects and Nonunion in Long Bone Shaft after Fracture

目的 :探讨四肢长管状骨骨不连、骨缺损的治疗方法。方法 :3 6例骨不连、骨缺损病人采用交锁髓内钉内固定 ,取自体髂骨植骨及术后经皮注射金葡液等综合治疗。结果 :3 6例术后 X线片显示 ,1个月骨折端周围出现骨痂 ,3个月有连续骨痂形成 ,6个月骨折愈合。无内固定物断裂、弯曲和松动 ,关节活动基本正常。结论 :交锁髓内钉内固定、自体髂骨植骨及术后经皮注射金葡液综合治疗骨不连骨缺损 ,能提供坚强内固定 ,促进成骨活动 ,加快骨折愈合 ,是治疗长骨骨不连骨缺损的较好方法。

Objective:To investigate the treatment of bone defects and nonunion in logn bone shaft after fracture.Methods:36 cases of long bone shaft nonunion were treated by interlocking nails with autologous bone grafting and percutaneously injecting of staphylococcing aureus injection.Results:X-ray examination showed that callus appeared 30 days and 60 days after operation.Solid union was achieved in 36 cases 180 days postoperatively with good joint function.Conclusion:The procdure can provide firm internal fixation,improve circulation and activity of osteoblasts in fracture sites and accelerate fracture healing.