羟基磷灰石微粒人工骨修复额部凹陷性骨折

CLINICAL STUDY ON REPAIRING DEPRESSED FRACTURE OF FRONTAL PART WITH HYDROXYLAPATITE PARTICULATE ARTIFICIAL BONE

目的 探讨采用羟基磷灰石微粒人工骨修复额部凹陷性骨折的疗效及并发症。 方法 1994年1月～ 2 0 0 2年 12月对 13例经临床和 X线片检查确诊为外伤性额部凹陷性骨折 ,采用发际前缘小切口或局部小切口 ,潜行剥离后 ,将羟基磷灰石微粒人工骨植入额部凹陷性骨折处。分别在术后 1周、1和 3个月进行临床和 X线片检查 ,观察治疗效果和并发症。 结果 13例羟基磷灰石微粒人工骨植入量为 10～ 30 g。术后伤口 期愈合 ,外形恢复良好 ,未发生并发症。 结论 羟基磷灰石微粒人工骨修复额部凹陷性骨折是一种较好的治疗方法。

Objective To study the effect and complication of repairing depressed fracture of frontal part with hydroxylapatite particulate artificial bone. Methods From January 1994 to December 2002, 13 patients were all diagnosed as having depressed fracture of frontal part with clinical and X-ray examinations. The small incision before the hair-edge or local small incision was made. After opening the incision, we performed creeping decollement. Then the hydroxylapatite particulate artificial bone was implanted into the sites of the depressed fracture. The effect and complication were observed with clinical and X-ray examinations in all patients 1 week, 1 month, 3 months after operation. Results The quantity of hydroxylapatite implanted was 10-30g. Primary healing was obtained in all cases without any complication. All cases were followed up for 3 months. The contours of the frontal part were restored well. Conclusion It is a good method to repair depressed fracture of frontal part with hydroxylapatite particulate artificial bone.