交锁髓内钉加植骨术治疗股骨胫骨骨折不愈合及延迟愈合

Interlocking nail in treatment of delayed union and nonunion of femur or tibia

摘要:

目的探讨交锁髓内钉加植骨术治疗股骨胫骨骨折不愈合及延迟愈合的疗效.方法对32例股骨胫骨骨折患者不愈合及延迟愈合患者使用扩髓型交锁髓内钉治疗,10例患者同时行植骨术.结果 32例患者均达到骨性愈合,愈合时间8.3～43个月,平均13.4个月,无感染及断钉等现象发生.结论交锁髓内钉固定加植骨术是治疗股骨胫骨干骨折术后骨折不愈合及延迟愈合的有效方法.

Abstract:

Objective: To explore the effect of interlocking nail in the treatment of delayed-union and union of femur or tibia. Methods: 32 cases of delayed union and non-union of femur and tibia were treated with interlaocking intramedullary nails. 10 patients were grafted with autogenous bone at same time. Results: All patients healed up after 43 months. The average healing time was 13.4 months. No complications such as infection or the breaking of the nail encountered. Conclusion: The interlocking intramedullary nail and bone grafting is effective for the treatment of delayed union or non-union of fractues of tibia or femur.