动力加压钢板联合松质骨植骨治疗肱骨干骨折不愈合的手术效果
Results of surgical treatment of nonunion of humeral shaft fracture with dynamic compression plate and cancellous bone grafting.
作者信息
Ayotunde Olasinde Anthony, Sunday Oluwadiya Kehinde, Oluwatoyin Adetan, Dare Ogunlusi Johnson
机构信息
Department of Orthopedic Surgery and Traumatology - Federal Medical Centre, Owo, Ondo State, Nigeria.
Department of Surgery Ladoke Akintola, University Teaching Hospital, Osogo Osum State Hospital, Nigeria.
出版信息
Acta Ortop Bras. 2012;20(4):223-5. doi: 10.1590/S1413-78522012000400006.
OBJECTIVE
We evaluated the treatment of nonunion of humeral shaft fracture with dynamic compression plate from January 2002 to December 2009.
METHODS
Twenty-two patients were treated over the study period. Trauma was the predominant cause of injury in 86.4% of the patients.
RESULTS
Nonunion was atrophic in 81.8% and hypertrophic in 18.2% of the individuals. There was a primary injury of the radial nerve in 27.3% of the patients. All the participants had closed fracture at presentation, and 81.2% had received previous treatment from traditional bone setters and 18.8% had failure of the conservative cast management. The average time to healing was 16 weeks. Previous treatment from traditional bone setters significantly affected the time to fracture healing (p<0.05). All fractures had successful union.
CONCLUSION
It was concluded that dynamic compression plating remains an effective treatment option for nonunion of humeral shaft fracture. Level of Evidence III, Retrospective study.
目的
我们评估了2002年1月至2009年12月间使用动力加压钢板治疗肱骨干骨折不愈合的情况。
方法
在研究期间共治疗了22例患者。86.4%的患者损伤的主要原因是外伤。
结果
81.8%的患者骨折不愈合为萎缩性，18.2%为肥大性。27.3%的患者伴有桡神经原发性损伤。所有患者就诊时均为闭合性骨折，81.2%的患者曾接受过传统接骨师的治疗，18.8%的患者保守石膏治疗失败。平均愈合时间为16周。接受过传统接骨师的治疗显著影响骨折愈合时间（p<0.05）。所有骨折均成功愈合。
结论
得出结论，动力加压钢板仍是治疗肱骨干骨折不愈合的有效选择。证据级别III，回顾性研究。
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