摘要
目的探讨应用捆绑带治疗长骨骨折出现的骨折愈合障碍与捆绑带的使用以及与骨折类型的相互关系。方法选取三家医院2004年12月至2009年12月205例因长管状骨骨折住院治疗的患者,对采用钢板、髓内针以及髓内针结合捆绑带的手术治疗病例进行研究,按骨折部位、AO骨折分型及手术方式进行分组。对所有病例进行随访,随访时间6～26个月,平均随访时间(22.3±3.3)个月。出现延迟愈合7处,不愈合12处,对采用不同治疗方式以及不同骨折类型的骨折愈合效果差别进行统计分析。结果相同部位采用不同的内固定治疗方法 ,骨折的延迟愈合或不愈合率无统计学差异(P>0.05),不同的骨折类型手术后,骨折延迟愈合或不愈合率存在统计学差异(P<0.05),其中C型骨折延迟愈合或不愈合率最高,B型骨折其次。而在C型骨折中采用不同的内固定治疗方法对比分析结果 ,骨折延迟愈合或不愈合率无统计学差异。结论捆绑带的使用对骨折愈合无明显不良影响,骨折愈合结果与骨折分型密切相关,与捆绑带的应用没有必然联系。
Objective To discuss the correlation among using cerclage band, fracture types and the fracture healing impairment which treated by cerelage band in long bone fracture. Methods 205 patients from three hospitals who had long bone fracture from December 2004 to December 2009 were reviewed, which treated with plate, intramedullary nail alone and in combination with cerclage band, and we classified groups with fracture position, AO fracture type and internal fixation patterns. All these patients were reviewed at an average of（22. 3 ±3.3 ）months postoperatively（range 6-26 months）. Seven were delayed union, twelve were nonunion. Statistical analysis for the difference of fracture healing. Results For using different internal fixation patterns, the fracture nonunion rate was not statistically different within same position （ P 〉 0. 05 ）. There was a significant difference for nonunion rate between the different fracture types （ P 〈 0. 05 ） , the rate of nonunion of type C was the highest, and type B was second. Comparative analysis of difference internal fixation patterns in type C,there was no statistic difference within fracture rate. Conclusions The use of cerelage band has no obvious adverse effect on fracture healing. There is closely relationship between the results of fracture healing and the fracture type, but no relation with the use of cerclage band.
出处
《中华临床医师杂志（电子版）》
CAS
2012年第7期77-80,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
骨折
不愈合
捆绑带
治疗
Fractures, ununited
Cerclage band
Treatment
