锁定加压接骨板及带锁髓内针治疗股骨干骨折不愈合的临床疗效研究.pdfVIP

提 要 目的：观察比较锁定加压接骨板和带锁髓内针治疗股骨干骨折不愈合的疗效，总 结治疗体会。 方法：收集山东中医药大学附属医院骨科2009年9月至 2011年3月病房收治的 符合纳入标准的股骨干骨折不愈合患者40例，采用锁定加压接骨板（LCP）固定和带 锁髓内针固定各 20 例。所有患者治疗后进行随访，应用 Johner-Wruh 评分标准对两 组患者进行功能评价，对比两者术中出血量、手术时间及骨折愈合率，观察疗效。 结果：锁定加压接骨板与带锁髓内针治疗股骨干骨折不愈合均疗效显著，LCP组 手术时间，术中出血量均低于带锁髓内针组，且差异有统计学意义（P0.05）。骨折 愈合率LCP组高于带锁髓内针组，但差异无统计学意义(P0.05)。Johner-Wruh功能 评价 LCP 组优良率 85.0%，带锁髓内针组 75.0%，两组比较无明显差异，无统计学意 义(P0.05)。 结论：锁定加压接骨板治疗股骨干骨折不愈合较带锁髓内针具有局部血运破坏 少，手术时间短等优点，但在骨折愈合率，后期功能恢复方面两者无明显差异。 关键词 股骨干骨折不愈合；锁定加压接骨板；带锁髓内针 Use of Locking Compression Plate and Intramedullary Interlocking Nail for Treatment of Femoral Non-union Speciality: Orthopedics of TCM Author: Xu Xin Xing Tutor: Prof Bi Rong Xiu Abstract Objective ：LCP compared with Intramedullary Interlocking Nail in treatment of femoral non-union, and conclude their operation effects. Methods ：Collect 40 patients with femoral non-union who met the inclusion criteria from Affiliated Hospital of Shandong University of Traditional Chinese Medicine Orthopedic from 2009.9 to 2011.3. Divided into A ( 20cases with LCP) and B ( 20cases with Intramedullary Interlocking Nail). All patients were followed up after treatment, compared with operation time, blood loss, postoperative bone healing rate, and Johner-Wruh functionalassessment of the results. Results ：Both of the two group get significant effect in treatment of femoral non-union,A the operation time, blood loss lower than the B group, There were significant statistical difference (P 0.05).A was better in postoperative bone healing rate than B group, But no significant differences (P 0.05). Johner-Wruh A group of excellent and good rate funct