带锁髓内钉固定后长骨骨不连的补充性锁定加压接骨板固定治疗。
Augmentative locking compression plate fixation for the management of long bone nonunion after intramedullary nailing.
机构信息
Department of Orthopaedic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
出版信息
Arch Orthop Trauma Surg. 2012 Jul;132(7):937-40. doi: 10.1007/s00402-012-1497-4. Epub 2012 Mar 7.
OBJECTIVE
Intramedullary nailing is widely used in the treatment of long bone fractures. But some patients suffer from nonunion after receiving intramedullary nailing. This paper investigates the methods and effects of locking compression plate (LCP) in the treatment of long bone nonunion after intramedullary nailing.
METHODS
A total of 6 patients (4 males, 2 females) with long bone nonunion were enrolled. All these patients had previously undergone intramedullary nailing for fractures of long bones (4 femurs, 2 tibiae). The average time from injury to LCP treatment was 12.2 months. The locking compression plate was applied over the intramedullary nail, and unicortical purchase achieved with locking head screws due to underlying nails. Autologous bone grafting was done in all cases.
RESULTS
Six patients were followed up for 12-20 months (mean 14.2 months). X-ray imaging showed bone callus at the broken ends of the fracture at 3-7 (mean 4.5) months after surgery. All patients did not have any complications such as infection, breaking or loosening of the LCPs.
CONCLUSION
LCP can be used for the treatment of long bone nonunion after intramedullary nailing for its convenience, minimal invasion and curative effect.
目的
髓内钉广泛用于治疗长骨骨折。但有些患者在接受髓内钉治疗后会出现骨不连。本文研究了锁定加压钢板（LCP）治疗髓内钉治疗长骨骨不连的方法和效果。
方法
共纳入 6 例（男 4 例，女 2 例）长骨骨不连患者。所有患者均因长骨骨折（股骨 4 例，胫骨 2 例）行髓内钉治疗。LCP 治疗距损伤的平均时间为 12.2 个月。在髓内钉上应用锁定加压钢板，由于下面的钉子，用锁定头螺钉实现单皮质固定。所有病例均行自体骨移植。
结果
6 例患者随访 12-20 个月（平均 14.2 个月）。术后 3-7 个月（平均 4.5 个月）X 线片显示骨折断端有骨痂。所有患者均无感染、LCP 断裂或松动等并发症。
结论
LCP 治疗髓内钉治疗长骨骨不连方便、微创、疗效确切。
Zotero 插件