股骨干骨折不愈合的临床研究及治疗体会.doc

股骨干骨折不愈合的临床研究及治疗体会.doc

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The Analysis and Treatment of the Nonunion of the Fracture of the Femoral Shaft Specialty:Orthopedics of TCM Author:Xiao Lin Tutor:Associate Professor Li Gang Abstract Objective:To evaluate the factors and the treatment of the postoperative nonunion of the fracture of femoral shaft. Method: In the clinical study, the 20 patients with postoperative nonunion of the fracture of femoral shaft receive the same treatment principles:In these cases,the internal fixation is replaced and autogenous bone graft is adopted . Results:18 cases of 20 got osteal healing.The healing time lasts 5~8 months,average 6.5 months. Conclusion:Iatrogenic factors and patients own factors are the main factors of the nonunion of postoperative femoral shaft fracture.The replacement of internal fixation with the combination of the adoption of autogenous bone graft is effective in the treatment significantly. Key words  the nonunion of the fracture of the femoral shaft ; bone graft inside and outside bone marrow; four major principles; healing by first intention 目  录 引  言 ............................................................................................................................... 1 临床研究 ............................................................................................................................... 2 一、资料与方法 ................................................................................................................... 2 (一)研究对象 ................................................................................................................... 2 (二)病例选择 ................................................................................................................... 2 (三)病例纳入标准 ........................................................................................................... 2 (四)病例排除标准 ........................................................................................................... 3 二、治疗方法 .................................................

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