可吸收螺钉在近关节端松质骨骨折中应用.docVIP

可吸收螺钉在近关节端松质骨骨折中应用[摘要] 目的：评价可吸收螺钉在近关节端松质骨骨折临床应用效果。方法：本组32例，平均年龄35岁。使用65枚可吸收螺钉治疗四肢关节端松质骨骨折，术前、手术当天及术后定期摄X线片，并观察局部及全身反应情况。结果：术后平均随访12个月（6个月～3年），所有病例骨折对位良好，达骨性愈合。肢体功能和关节活动无明显异常，无非特异性炎症反应表现。结论：可吸收螺钉是近关节端松质骨骨折的理想内固定物，固定效果确切，生物相容性好，对人体无不良反应，不影响关节内骨折的愈合，免除二次手术取内固定物的痛苦。 [关键词] 内固定；可吸收螺钉；近关节端；生物降解 [中图分类号] R683 [文献标识码]A [文章编号]1674-4721（2009）02（a）-010-02 Application of absorbable screws in treatment of fractures of spongy bone near joints QIU Bin，CAO Jian-min，LIAO Gui-hua，ZHAO Cui-xuan，DENG Jian-feng (Hunan Normal University Affiliated Xiangdong Hospital,Liling412200，China) [Abstract] Objective: To evaluate the clinical effects of absorbable screws in treatment of fractures of spongy bone near joints. Methods: 32 patients with fractures of spongy bone near limb joints were treated with 65 absorbable screws. Their average age was 35 years old. They took regular X-ray examinations preoperatively, on the day of operation and postoperatively to observe their local and systemic reactions. Results: All the cases were followed up for 6 months to 3 years, with an average of 12 months. Good apposition and bony union were achieved in all fhe cases. Their functions of joint were normal and no nonspecific inflammatory reactions were observed. Conclusion: The absorbable screw is an ideal internal fixation device in the treatment of fractures of spongy bone near joints, because it has a definite effect of fixation but no barmful effects on fracture healing or human body, and good biocompatibility which can spare the patients the pain saused by the operation to remove the implants. [Key words] Internal fixation;Absorbable screws;Near Joints;Biolysi 近关节端松质骨骨折临床常见，用传统手术方法治疗并发症多，采用可吸收内固定物治疗，勿需二次手术取出内固定，对关节周围组织及关节本身损伤小，组织相容性好，并发症少，且免除病人再次手术的心理压力，疗效可靠。1984年芬兰Rokkanen[1] 开始成功地将此项技术应用于临床。近年来，随着可吸收内固定技术的成熟和发展，其在临床的应用逐渐增多，2000年3月～2004年5月我院使用可吸收螺钉治疗近关节端松质骨骨折32例，取得满意效果，现报道如下： 1资料与方法 1.1一般资料 本组32例，男性23例，女性9例；年龄8～71岁，平均27.8岁。均为关节内骨折或关节周围松质骨骨折，且均为新鲜骨折。骨折部位：肱骨髁部骨折5例（图1），肱骨大结