CAJ | 학술논문

目的：观察前置锁定加压接骨板（LCP）固定结合自体骨植骨治疗肱骨干骨折不愈合临床疗效。方法将72例肱骨干骨折不愈合患者随机分为2组。治疗组30例应用前置LCP固定结合自体骨植骨治疗，对照组42例应用非前置LCP固定结合自体骨植骨治疗，观察2组术中出血量、手术时间、骨折愈合情况及肩肘关节功能情况。结果2组肩肘关节功能优良率及骨折愈合时间比较差异均无统计学意义（P＞0．05），但治疗组术中失血量、手术时间较对照组减少或缩短（P＜0．01）。结论前置LCP固定结合自体骨植骨治疗肱骨干骨折不愈合对全身和局部的损伤少，手术时间短。
목적：관찰전치쇄정가압접골판（LCP）고정결합자체골식골치료굉골간골절불유합림상료효。방법장72례굉골간골절불유합환자수궤분위2조。치료조30례응용전치LCP고정결합자체골식골치료，대조조42례응용비전치LCP고정결합자체골식골치료，관찰2조술중출혈량、수술시간、골절유합정황급견주관절공능정황。결과2조견주관절공능우량솔급골절유합시간비교차이균무통계학의의（P＞0．05），단치료조술중실혈량、수술시간교대조조감소혹축단（P＜0．01）。결론전치LCP고정결합자체골식골치료굉골간골절불유합대전신화국부적손상소，수술시간단。
Objective To evaluate the efficacy of secondary revision with anterior locking compression plate fixationandautologousbonegraftfornonunionofhumeralshaft.Methods 72casesofhumeralshaftnonunionof fracture were randomly divided into two groups .All of the patients were treated with locking compression plate fixation and autologous bone graft .According to the operation way , anterior LCP fixation group 30 cases, non-Anterior LCP fixation group with 42 cases.Operation time, bleeding volume and the fracture healing time and the motion range of shoulder and elbow joint .Results Excellent rate of anterior LCP fixation in the treatment of humeral shaft fracture and was 90%, there was no significant difference in efficacy between the two groups ( P >0.05).But the anterior LCP fixation group of intraoperative blood loss and the operation time is significantly shortened ( P <0.01).Con-clusion Anterior LCP and autologous bone graft is safe and effective treatment for nonunion of humeral shaft with short operation time ,Systemic and local less damage .