CAJ | 학술논문

目的观察自体髂骨植骨联合锁定加压钢板内固定术、术后结合中药治疗胫骨中下段骨不连，分析其临床疗效。方法本组21例病人均确诊为胫骨中下段骨不连，采用锁定加压钢板内固定联合自体髂骨植骨术治疗，术后中药治疗3月。结果本组患者随访8-48个月(平均19个月)，骨不连均愈合，无感染及内固定松动、断裂发生，关节功能良好。结论 LCP内固定加自体髂骨植骨、术后结合中药治疗胫骨中下段骨不连是理想的方法，临床疗效可靠。
목적관찰자체가골식골연합쇄정가압강판내고정술、술후결합중약치료경골중하단골불련，분석기림상료효。방법본조21례병인균학진위경골중하단골불련，채용쇄정가압강판내고정연합자체가골식골술치료，술후중약치료3월。결과본조환자수방8-48개월(평균19개월)，골불련균유합，무감염급내고정송동、단렬발생，관절공능량호。결론 LCP내고정가자체가골식골、술후결합중약치료경골중하단골불련시이상적방법，림상료효가고。
Objective] To observe the clinical effect of the treatment of tibia nonunion with locking compression plate (LCP) and iliac bone grafting combined traditional Chinese medicine. [Methods] Twenty-one cases were diagnosed with nonunion of the tibia.They were treated with intramedullary interlocking nailing flap and iliac bone grafting, and traditional Chinese medicine for three months. [ Results] All cases were followed up for an average of 19 months and achieved a solid union within 8~48 months. Bone is not even all healed without infection and internal fixation loose fracture occurs, joint function is good. [ Conclusion] locking compression plate (LCP) with iliac bone grafting and traditional Chinese medicine is a bettre method of treating tibia nonunion, the clinical effect is ture.