钢丝环扎多方位骨配合lcp内固定治疗四肢长管骨骨折不愈合.pdfVIP

Wire rings with bone graft plunge all-sides limbs internal fixation for LCP long tube bone fracture healing Speciality: Orthopaedics of TCM Author: Li Ning Tutor: Prof.Wang Abstract Objective:Explore therapy limbs long bone fracture nonunion of surgery improvement methods and results. Methods:This study cases from shandong university of traditional Chinese medicine hospital orthopedic ward, the selection of 2009 May to December 2010 between limbs long bone fracture nonunion patients 20 cases, all use surgical treatment, to autogenous iliac grafts, line wire loop pierced comprehensive bone graft fixation with LCP afresh, male, female 14 cases in 6 cases. One humerus backbone nonunion in 5 cases, femur in 6 cases, tibial dry 9 cases.Results:20 cases were followed up time get 3 ~ 12 months, according to the bone healing and functional recovery double evaluation diagnostic criteria, treatment since fitting bone is not even bone healing rate 100%, dykes 95%, functional recovery 96.5%, fracture dykes average healing time 4 ~ 6 months, X-ray showed good, no bone graft fusion altitude and reset lost, function recovered well.Conclusion:Wire rings with bone graft plunge all-sides pressurized locking plate (LCP) and internal fixation is the treatment of bone fractures limbs long tube dont heal, an effective method of definite effect. Key words Many-side grafts Limbs long tube bone healing Bone is not even Treatment 目 录 引 言 1 资料与方法 2 一、 临床资料 2 （一）病例来源 2 （二）采集时间 2 （三）病例选择： 2 （四）观察组一般资料 3 二、 手术方法 3 （一）术前准备 3 （二）手术方法 3 三、疗效评价 6 （一）骨愈合评价标准 7 （二）功能评价标准 7 四