股骨干骨折不愈的相关分析及治疗.pdfVIP

F em o ra l S h a ft F ra ctu re N o n u n io n C o rrela tio n A n a ly sis a n d T rea tm en t S P ecia lty :O rth oPaed ies o f T C M A u th o r :H ao G u an g lian g Tll to r :P rof.Z h an g Ju n zh o n g A b str a Ct o bjeetiv e : To evaluate the faetors and treatm ent of PostoPerative fem oral shaft fraeture nonunion.M ethod :T he stu勿 eases w ere from the Shandong M ediealU n iversity H o sP ita l O rth o P ed ie w ard fro m Ju ly 2 0 0 7 to Ju ly 2 0 0 9 a fter fem o ra l sh a ft fraetu re s w ere treated n o n 一u n io n ，2 5 ca seS W ere retro SP ectiV e ly an a ly zed an d su m u P th e h ea lin g o f fem o ra l sh aft fraetu re faetors in P atien ts w ith n o n 一h ea lin g aeeo rd in g to th e ty P e an d in tem a l fix atio n m an n er in d iv id u a l treatm en t，treatm en t w ith reP la eem en t o f in terna l fix atio n w i th in tram edu llary au to g en o u s ilia e b o n e g ra ft ex tram edu llary. T h e se eo n d P o st一o P erativ e trea im en t e ffe et u n d er th e ”Illizaro v M eth o d s an d R e seareh In stitu te ”o n th e b o n e 15 n o t h ea lin g an d fun etio n a l reeo v ery ev a lu atio n m eth o d s to b e a sse ssed .R esu lts :A ll 2 5 P atien ts we re 24 ea se s o f a o n e一tim e eu re ，to aeh iev e b o n e h ea lin g ，eom P lete b o n e h ea lin g tim e o f 5 to 8 m o n th s，an av erag e o f 6 .2 m o n th s.C o n e lu sio n : Ia tro g en ie faeto rs (bad fraetures，bone defeets，im ProPer fixation m aterialselection) and their faetors (tyPe of fraeture，early w eight一beari ng ，aetivity ov erload) 15 a fem oral shaftfraeture nonun ion tw o m a in rea so n s for th e seeo n d ary s