摘要
目的观察锁定加压接骨板（locking compression plates,LCP）联合植骨治疗胫腓骨开放性骨折外固定架术后骨不连临床疗效。方法回顾性分析作者科室自2009-07/2014-12月经LCP联合植骨治疗胫腓骨开放性骨折外固定架术后骨不连患者17例,其中男性11例,女性6例,年龄23~69岁,平均47岁;初次骨折至骨不连LCP＋植骨手术时间为9个月~2.5年,平均1年7个月,术后复查X线片评价骨折愈合时间。术后末次随访按照Johner Wruhs标准对下肢关节功能进行评分。结果 2例失访,15例获得随访,随访时间12~21个月,平均14.8个月;术后复查X线片均显示骨折愈合,骨折愈合时间4~13个月,平均5.5个月,无术后感染、骨不连、接骨板松动等并发症。术后1年,按照Johner Wruhs对下肢关节功能评分：优10例,良3例,可2例,优良率为86.7%。结论 LCP联合植骨能有效治疗胫腓骨开放性骨折外固定架术后骨不连。
Objective To observe the clinical treatment of locking compression plates（ LCP） with bone graft for postoperative nonunion after open fracture of the tibia and fibula with external fixators. Methods Seventeen open tibia-fibula fracture patients had postoperative nonunion after external fixators in authors＇ hospital from July 2009 to December 2014 were collected and reviewed retrospectively. There were 11 males and 6 females,aged from 23 to 69 years old（ average 47 years）. The time from initial injury to the bone nonunion operation was between 9 months and 2. 5 years（ average 1 year and 7 months）.Fractures healing time were evaluated by X-Ray,and function in the lower limbs was evaluated by Johner-Wruhs assessment criteria. Results Two patients were lost to follow-up,and 15 patients were followed up from 12 to 21 months（ average 14. 8months）. All the patients were healed from 4 to 13 months（ average 5. 5 months） with no complication occurred,such as infection,bone nonunion or loose bone plate. Lower limbs function was evaluated by Johner Wruhs scoring scale after 1 year,and 10 patients had excellent results,3 good,2 fair. The good rate was 86. 7%. Conclusion LCP combined with bone graft can treat postoperative nonunion after open fracture of the tibia and fibula with external fixators effectively.
出处
《华南国防医学杂志》
CAS
2016年第8期504-506,共3页
Military Medical Journal of South China
关键词
锁定加压接骨板
开放性骨折
外固定架
骨不连
Locking compression plates
Open fracture
External fixator
Bone nonunion
