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自体骨泥植骨治疗四肢长骨干骨折不愈合 被引量:1
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作者 高峰 秦晓东 +1 位作者 方永祥 李翔 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2015年第12期1824-1825,共2页
目的 :探讨自体骨泥植骨作为治疗四肢长骨干骨折不愈合植骨方式的疗效。方法 :回顾分析本院2012年8月—2013年12月收治四肢长骨骨折不愈合病例15例。手术取出原内固定,重新复位,骨折断端采用合适的坚强内固定材料予以固定,植入自体髂... 目的 :探讨自体骨泥植骨作为治疗四肢长骨干骨折不愈合植骨方式的疗效。方法 :回顾分析本院2012年8月—2013年12月收治四肢长骨骨折不愈合病例15例。手术取出原内固定,重新复位,骨折断端采用合适的坚强内固定材料予以固定,植入自体髂骨骨泥。术后1、3、6、12个月复查X线,观测骨痂生长情况。结果:术后随访12~36月,所有患者伤口均一期愈合,术后1年所有患者均达骨性愈合,未出现内固定物松动、断裂等并发症。术后1、3个月分别有12、15例患者复查X线发现明显骨痂生长。结论:采用自体骨泥植骨结合坚强内固定,治疗四肢长骨骨折不愈合效果满意,可作为植骨方式的常用选择之一。 展开更多
关键词 四肢长 折不愈合 自体骨水泥
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自体骨颗粒复合骨水泥治疗骨巨细胞瘤62例分析
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作者 雒军平 苗亚琴 《中国社区医师(医学专业)》 2010年第4期54-54,共1页
目的:总结和评价骨巨细胞瘤病灶刮除后用石炭酸和酒精烧灼残腔,用骨水泥复合自体髂骨骨颗粒充填治疗骨巨细胞瘤的疗效。方法:将62例骨巨细胞瘤病人行病灶刮除后先用石碳酸和酒精烧灼残腔,然后用自体髂骨剪碎后与骨水泥相混合,充填于残... 目的:总结和评价骨巨细胞瘤病灶刮除后用石炭酸和酒精烧灼残腔,用骨水泥复合自体髂骨骨颗粒充填治疗骨巨细胞瘤的疗效。方法:将62例骨巨细胞瘤病人行病灶刮除后先用石碳酸和酒精烧灼残腔,然后用自体髂骨剪碎后与骨水泥相混合,充填于残留腔内,刮除后骨皮质薄弱的病例加用内固定固定。结果:平均2个月随访,肿瘤复发8例,复发率平均12.9%,病灶愈合加快,平均2~3个月,关节功能恢复良好。结论:病灶刮除后石碳酸和酒精烧灼残腔,用骨水泥复合自体髂骨骨粒移植充填残留腔是治疗骨巨细胞瘤的可靠办法。 展开更多
关键词 巨细胞瘤 病灶刮除 酒精浸泡 水泥混合自体颗粒
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Experimental study on the repair of tibial plateau defect
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作者 XU Hai-lin HAN Na +3 位作者 KOU Yu-hui WANG Yan-hua ZHANG Hong-bo JIANG Bao-guo 《Chinese Journal of Traumatology》 CAS 2012年第5期268-272,共5页
Objective: To evaluate the effect of autograft bone, allograft bone, calcium sulfate bone cement, and calcium phosphate bone cement on the repair of tibial plateau defect in rabbits. Methods: We used autograft bone... Objective: To evaluate the effect of autograft bone, allograft bone, calcium sulfate bone cement, and calcium phosphate bone cement on the repair of tibial plateau defect in rabbits. Methods: We used autograft bone, allograft bone, calcium sulfate bone cement, and calcium phosphate bone ce ment to repair tibial plateau defect in rabbits. Gross and histo logic observations, Xray examination, and biomechanical test were conducted at 1, 2, 4, 8 weeks after operation. Results: Xray examination found that the bone den sity was evidently reduced in calcium sulfate group at 8 weeks after operation; there were no marked changes in other groups. The maximal load measurements showed that autograft and allograft groups were greater than calcium sulfate and calcium phosphate groups at 1 and 2 weeks after operation. However at 4 and 8 weeks after operation, no significant difference was found among the four groups. In autograft and allograft groups, there was no significant difference in biomechanical intensity at 2, 4, and 8 weeks,but it was significantly higher than that at 1 week. In cal cium sulfate and calcium phosphate groups, the outcome was ranked in descending order as 1 week〈 2 week〈 4 week =8 week. Histologic examination found a great amount of new bones at 8 week in both autograft and allograft groups. In calcium sulfate group, calcium sulfate was almost absorbed and there were numerous bone trabeculations. There was a large amount of unabsorbed calcium phosphate in calcium phosphate group. Conclusion: At 12 weeks postoperatively, the biome chanical intensity is higher in autograft and allograft groups than calcium sulfate and calcium phosphate groups, but after 48 weeks, there is no significant difference among groups. At 12 weeks, the biomechanical intensity in all groups is increased, but at 48 weeks, there is no significant increase. The rates of absorption and bone formation are quicker in calcium sulfate group than calcium phosphate group. 展开更多
关键词 TIBIA Fractures bone Bone trans-plantation Knee joint
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