摘要
To evaluate the result of dynamic condylar screw (DCS) and iliac bone autograft for treating supracondylar nonunions.Methods For 18 supracondylar nonunions,DCS was used as the internal fixation device.For patients with severe osteoporosis or with nonunion site close to the artificial surface,the head of the buttress plate was added,making the screws to fixate easily.Iliac bone autograft including iliac block and scum of spongy bone was used in order to fully arouse the inductive and conductive effect of the graft.Continuous postoperative passive motion (CPM) was performed for a short period,and the active and passive motion were intensively advised for one year long.The cases were followed up from 12 to 70 months (mean 34 months).Results All cases were healed,with average healing time of five months (3～6 months).The motion range for the knee joint was increased from 73 degrees (5～135 degrees) to 97 degrees (30～135 degrees).Excellent and good results were achieved in 13 cases,satisfactory in four and poor in one.Conclusion DCS with rigid fixation and compression effect,combined with porous condylar plate if necessary,with iliac bone autograft and long period of post-operative exercises of the knee joint,provides one efficacious technique for treating the supracondylar non-unions of the femur.11 refs,2 figs.
To evaluate the result of dynamic condylar screw (DCS) and iliac bone autograft for treating supracondylar nonunions.Methods For 18 supracondylar nonunions,DCS was used as the internal fixation device.For patients with severe osteoporosis or with nonunion site close to the artificial surface,the head of the buttress plate was added,making the screws to fixate easily.Iliac bone autograft including iliac block and scum of spongy bone was used in order to fully arouse the inductive and conductive effect of the graft.Continuous postoperative passive motion (CPM) was performed for a short period,and the active and passive motion were intensively advised for one year long.The cases were followed up from 12 to 70 months (mean 34 months).Results All cases were healed,with average healing time of five months (3～6 months).The motion range for the knee joint was increased from 73 degrees (5～135 degrees) to 97 degrees (30～135 degrees).Excellent and good results were achieved in 13 cases,satisfactory in four and poor in one.Conclusion DCS with rigid fixation and compression effect,combined with porous condylar plate if necessary,with iliac bone autograft and long period of post-operative exercises of the knee joint,provides one efficacious technique for treating the supracondylar non-unions of the femur.11 refs,2 figs.
出处
《外科研究与新技术》
2005年第3期178-178,共1页
Surgical Research and New Technique
