Clohisy D R, Ly T V, Thompson R C
University of Minnesota Medical School, Department of Orthopaedic Surgery, Minneapolis 55455, USA.
Clin Orthop Relat Res. 2000 Feb(371):198-205. doi: 10.1097/00003086-200002000-00024.
Results using plates augmented with cerclage wires to stabilize eight large segment femoral allografts are described. Two patients had plates augmented with cerclage wires placed at the time of tumor resection, and six patients had plates augmented with cerclage fixation placed to manage allograft nonunions or fractures. These internal fixation techniques spanned 10 osteotomy sites: two metaphyseal and eight diaphyseal. The goal of operations that involved internal fixation with plates augmented by cerclage fixation was to obtain osseous union. Osseous union was achieved at both metaphyseal osteotomy sites and at one of the diaphyseal osteotomy sites. Internal fixation of large segment allografts with plates that are augmented with cerclage wires yield poor results when osseous union is the goal of treatment.
本文描述了使用带环扎钢丝的钢板来稳定八例大段同种异体股骨移植的结果。两名患者在肿瘤切除时使用带环扎钢丝的钢板，六名患者使用带环扎固定的钢板来处理同种异体骨不愈合或骨折。这些内固定技术涉及10个截骨部位：两个干骺端和八个骨干。采用带环扎固定的钢板进行内固定的手术目的是实现骨愈合。在两个干骺端截骨部位和一个骨干截骨部位实现了骨愈合。当以骨愈合为治疗目标时，使用带环扎钢丝的钢板对大段同种异体骨进行内固定效果不佳。
