CAJ | 학술논문

目的应用锁定钢板结合游离腓骨移植治疗下肢长骨大段骨缺损,并观察其疗效.方法自2005年1月至2007年5月应用锁定钢板内固定结合游离腓骨移植治疗下肢长骨大段骨缺损10例,其中股骨2例,胫骨8例,病程6～96个月,平均27.9个月.结果全部患者随访4～30个月,平均14.4个月;骨折均在4～6个月内牢固连接,平均愈合时间为4.5个月,无内固定松动及骨不连等并发症.结论锁定钢板结合游离腓骨移植是治疗下肢长骨大段骨缺损的一种十分有效的方法.
목적 응용쇄정강판결합유리비골이식치료하지장골대단골결손,병관찰기료효.방법 자2005년1월지2007년5월응용쇄정강판내고정결합유리비골이식치료하지장골대단골결손10례,기중고골2례,경골8례,병정6～96개월,평균27.9개월.결과 전부환자수방4～30개월,평균14.4개월;골절균재4～6개월내뢰고련접,평균유합시간위4.5개월,무내고정송동급골불련등병발증.결론 쇄정강판결합유리비골이식시치료하지장골대단골결손적일충십분유효적방법.
Objective To discuss clinical efficacy of free vagcularized fibular graft(FVFG)combined with a locking plate for treatment of large bone defects. Methods From January 2005 to May 2007,FVFG combined with locking fixation was employed to treat 2 large femoral defects and 8 tibial ones.The history of bone defect lasted from 6 to 96(mean,27.9)months. Results All patients were followed up for an average of 14.4(range,4 to 30)months.Solid bone union was achieved in all the fractures,with a mean healing time of4.5(range,4 to 6)months.No loosening or breakage of the implants occurred in this series. Conclusion FVFG combined with locking fixation can be used effectively to treat large bone defects at the femur and tibia.