Autologous bone marrow transplantation for treatment of lower limb fracture after 21 cases of delayed union.docVIP

 PAGE \* MERGEFORMAT 11 Autologous bone marrow transplantation for treatment of lower limb fracture after 21 cases of delayed union Keywords: lower limb fracture surgery Lower limb fracture in the femur and tibia due to all causes delayed healing or non-healing rate is relatively high. Our hospital from March 2004 to June 2007 using the method of autologous bone marrow transplantation treatment of femoral and tibial bone fracture after 21 cases of delayed healing, curative effect satisfaction, these are as follows. A clinical data 1.1 General Information The group of 21 cases, including 15 males and 6 females, aged 20 to 55 years (mean 32.5 years); 12 cases of femur fractures, tibial in 9 cases. Autologous bone marrow transplantation before the use of a fixed method: 10 cases of intramedullary nail, AO compression plate in 6 cases, the external fixator in 5 cases. Accept the 1st time of autologous bone marrow injection after 5 to 8 months (average 6 months). 1.2 surgical Autologous bone marrow aspiration: The bone marrow puncture needle in the anterior superior iliac spine on the 2cm penetrate, penetrate ilium is about 3 ~ 5 cm, the slow continuous pumping of red bone marrow liquid 10 ~ 15 ml, retirement or change the direction of re-suction needle 5 ml standby, disposable syringes and bone pinning in advance in anticoagulant heparin wash. Fracture-side processing: In the C-arm X-ray machine positioned under the control of fracture marks, local anesthesia, bone fracture line thread a needle piercing through the skin between the sterile gauze placed on standby cover, attention should be avoided during needle into the nerve and vascular walking path, to avoid unnecessary damage. X-ray films see the fracture line between the medullary cavity occlusion in patients after anesthesia with diameter of 2.5 ~ 3.0 mm Kirschner wire away from the fracture line between the 2 ~ 3cm at percutaneous piercing (Note that to avoid the