摘要
目的探讨外固定支架同期加压延长治疗伴有骨缺损、肢体短缩的长骨不连的疗效。方法回顾性分析2003年3月-2005年10月使用Ⅳ型镶嵌式外固定器同期加压延长治疗伴有骨缺损、肢体短缩的长骨不连15例，同时处理骨缺损与骨不连。结果15例随访9-39个月，骨缺损段新生骨生长良好，骨不连断端完全骨性愈合，愈合时间平均6.6（4-13）个月，肢体短缩畸形基本矫正。骨折端成角2例，均〈8°，未予特殊处理；针孔感染2例，经对症、抗感染处理后痊愈。结论使用Ⅳ型镶嵌式外固定器同期加压延长治疗伴有骨缺损、肢体短缩的长骨不连，能缩短治疗时间，并可取得良好疗效。
Objective To study the therapeutic method and effect of long bone non-union with defection and shortening. Method 15 cases of long bone non-union with defection and shortening were treated by compression and lengthening simultaneously after the type Ⅳ inlaid external fixators were fixed. Results All the cases were followed up for 9 to 39 months. The defection and non-union of long bones were cured in 6.6 months averagely and the shortening limbs got corrected. The fracture end angulated（ 〈 8°） in 2 cases , and the pinhole infected in 2 cases. Conclusion Compression and lengthening simultaneously after fixing the type IV inlaid external fixator, the long bones non-union with defection and shortening can get a simple and effective cure approach.
出处
《中国现代手术学杂志》
2007年第1期44-46,共3页
Chinese Journal of Modern Operative Surgery
关键词
骨折固定术
外固定器
fracture fixation
external fixators
