髓内针加自体骨髓移植治疗四肢长骨骨不连

Treatment of nonunion of long bones with interlocking nail and autologous bone-marrow grafting

目的 探讨四肢长骨骨不连的治疗方法。方法 13例骨不连中有肱骨5例,股骨4例,胫骨3例,尺骨1例,采用带锁(自锁)髓内针固定,自体髂骨植骨和骨折端自体骨髓移植治疗。结果所有病例经8～14个月随访,均在5～10个月内愈合,功能恢复良好,优良率达76.92％。结论 本手术采用带锁(自锁)髓内针固定坚强;自体骨髓移植可补充成骨基质、骨生长因子和骨祖细胞,有促进骨折愈合的作用。

Objective To study a method for the treatment of nonunion of long bones Methods 13 cases of the nonunion,5 in humerus,4 in femur,3 in tibia and 1 in ulna, were treated with interlocking nail and au-tologous bone-marrow grafting. Results All the cases got union within 5-10 months with follow-up from 8 to 14 months. Function recovered well,with 76.9% excellent and good rate.Conclusion The operation could provide firm internal fixation. The autologous bone-marrow grafting improve fracture healing with the supplement of bone matrix,osteoblast.