To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture usin...To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture using buttress plate associated with antografting of fibula and iliac bone were analyzed retrospectively.Results All cases were followed up for an average of 24 months（8～55 months）.The average time of octets bridge forming were 4 months（3～5 months） while the average time for bone union were 8 months （6～14 months）.According to Shelbourne rating system,result of all 18 cases were excellent and no malunion,infection were found.Conclusion Buttress plate associated with antografting of fibula and iliac bone is an effective alternative for the treatment of distal femoral C3 type fracture.It can provide more stable fixation to the bone and earlier functional exercises can be achieved.5 refs,3 figs,1 tab.展开更多
目的观察自体髂骨混合重组人骨形态发生蛋白-2(Recombinant human bone morphogenetic protein-2,rhBMP-2)植骨联合内侧支撑钢板与空心钉内固定治疗中青年陈旧性股骨颈骨折的临床疗效。方法回顾性分析自2018-01—2020-06诊治的13例中青...目的观察自体髂骨混合重组人骨形态发生蛋白-2(Recombinant human bone morphogenetic protein-2,rhBMP-2)植骨联合内侧支撑钢板与空心钉内固定治疗中青年陈旧性股骨颈骨折的临床疗效。方法回顾性分析自2018-01—2020-06诊治的13例中青年陈旧性股骨颈骨折,髋关节前侧入路显露骨折端彻底清除瘢痕组织及硬化骨,于股骨粗隆下外侧呈倒三角形置入3枚空心钉,取自体髂骨混合rhBMP-2于骨折断端填充植骨;将塑形后的3.5 mm重建钢板置于股骨颈前内侧,并置入螺钉固定。结果13例术后均获得随访,随访时间为16~37个月,平均21.5个月。所有患者均未出现切口感染、下肢深静脉血栓形成、股外侧皮神经损伤、骨折不愈合、内固定失效等并发症。骨折愈合时间为5~9个月,平均6.4个月。末次随访时髋关节功能Harris评分为79~95分,平均91.8分;优7例,良5例,可1例。1例术后13个月出现股骨颈短缩畸形(短缩长度<2 cm),末次随访时髋关节功能Harris评分为84分,尚未明显影响日常生活。1例术后11个月出现股骨头缺血性坏死(ARCO分期为Ⅲ期),对症治疗后股骨头坏死未进一步发展,末次随访时髋关节功能Harris评分为79分。结论采用自体髂骨混合rhBMP-2填充植骨联合内侧支撑钢板与空心钉内固定治疗中青年陈旧性股骨颈骨折可以获得良好的临床疗效,术后骨折愈合良好,骨折不愈合与股骨头缺血性坏死发生率明显降低。展开更多
文摘To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture using buttress plate associated with antografting of fibula and iliac bone were analyzed retrospectively.Results All cases were followed up for an average of 24 months（8～55 months）.The average time of octets bridge forming were 4 months（3～5 months） while the average time for bone union were 8 months （6～14 months）.According to Shelbourne rating system,result of all 18 cases were excellent and no malunion,infection were found.Conclusion Buttress plate associated with antografting of fibula and iliac bone is an effective alternative for the treatment of distal femoral C3 type fracture.It can provide more stable fixation to the bone and earlier functional exercises can be achieved.5 refs,3 figs,1 tab.
文摘目的观察自体髂骨混合重组人骨形态发生蛋白-2(Recombinant human bone morphogenetic protein-2,rhBMP-2)植骨联合内侧支撑钢板与空心钉内固定治疗中青年陈旧性股骨颈骨折的临床疗效。方法回顾性分析自2018-01—2020-06诊治的13例中青年陈旧性股骨颈骨折,髋关节前侧入路显露骨折端彻底清除瘢痕组织及硬化骨,于股骨粗隆下外侧呈倒三角形置入3枚空心钉,取自体髂骨混合rhBMP-2于骨折断端填充植骨;将塑形后的3.5 mm重建钢板置于股骨颈前内侧,并置入螺钉固定。结果13例术后均获得随访,随访时间为16~37个月,平均21.5个月。所有患者均未出现切口感染、下肢深静脉血栓形成、股外侧皮神经损伤、骨折不愈合、内固定失效等并发症。骨折愈合时间为5~9个月,平均6.4个月。末次随访时髋关节功能Harris评分为79~95分,平均91.8分;优7例,良5例,可1例。1例术后13个月出现股骨颈短缩畸形(短缩长度<2 cm),末次随访时髋关节功能Harris评分为84分,尚未明显影响日常生活。1例术后11个月出现股骨头缺血性坏死(ARCO分期为Ⅲ期),对症治疗后股骨头坏死未进一步发展,末次随访时髋关节功能Harris评分为79分。结论采用自体髂骨混合rhBMP-2填充植骨联合内侧支撑钢板与空心钉内固定治疗中青年陈旧性股骨颈骨折可以获得良好的临床疗效,术后骨折愈合良好,骨折不愈合与股骨头缺血性坏死发生率明显降低。
