CAJ | 학술논문

目的探讨应用锁定加压钢板(LCP)单骨皮质固定治疗长骨骨折交锁髓内钉同定术后骨不连的方法及疗效.方法 2004年7月至2007年3月,对8例股骨或胫骨骨折交锁髓内钉固定术后确诊为骨不连的患者,不取髓内钉,应用LCP穿透一侧骨皮质同定、断端切新并取自体骼骨植骨治疗,病程12.28个月,平均19.8个月.术后7 d开始部分负重,6个月后完全负重.结果 8例患者术后获8～20个月(平均14个月)随访.骨折断端术后6个月出现明显骨痂,8～16个月牢同连接,平均愈合时间12.6个月,无置入物松动等并发症发生.结论对于交锁髓内钉固定后骨不连时间较长的患者,采用LCP穿单侧骨皮质固定、断端切新并取自体髂骨植骨治疗,具有方法简便、损伤小、花费少、疗效确实等优点.
목적 탐토응용쇄정가압강판(LCP)단골피질고정치료장골골절교쇄수내정동정술후골불련적방법급료효.방법 2004년7월지2007년3월,대8례고골혹경골골절교쇄수내정고정술후학진위골불련적환자,불취수내정,응용LCP천투일측골피질동정、단단절신병취자체격골식골치료,병정12.28개월,평균19.8개월.술후7 d개시부분부중,6개월후완전부중.결과 8례환자술후획8～20개월(평균14개월)수방.골절단단술후6개월출현명현골가,8～16개월뢰동련접,평균유합시간12.6개월,무치입물송동등병발증발생.결론 대우교쇄수내정고정후골불련시간교장적환자,채용LCP천단측골피질고정、단단절신병취자체가골식골치료,구유방법간편、손상소、화비소、료효학실등우점.
Objective To investigate the effects of locking compression plate(LCP)used in unicortical fixation for treating nonunion of long bone fracture following intramedullary nailing.Methods From July 2004 to March 2007, 8 cases of long bone nonunion after intramedullary nailing were treated with unicortical LCP fixation and iliac bone graft, without removal of intramedullary nails.The treatment lasted 12 to 28(mean, 19.8)months.Results All cases were followed up for 8 to 20(mean, 14)months.Bony callus appeared at the broken ends of fracture 6 months after the operation.Firm unions were obtained within 8 to 16(mean, 12.6)months, and no such complications as loosening of inserts were found.Conclusions LCP unicortical fixation and iliac bone graft can be applied for patients suffering from long bone nonunions after failed intramedullary nailing.The advanced locking design of the plate can allow the patients to achieve satisfactory healing when walking naturally.