股骨重建髓内钉内固定与经皮注射
自体红骨髓治疗股骨粗隆下骨不连
中图分类号 文献标识码 A 文章编号 1005-8478(2000)06-0544-03
Treatment of Subtrochanteric Nonunion by Interlocking Nails and
Percutaneous Injection of Bone Marrow
Li Ya-fei,Shi Shu-shan,Liu Zhi,et of Orthopaedics, Beijing
Army General Hospital,Beijing100700.
Abstract Objective:To investigate the effectiveness of
percutaneous injection of bone marrow to treat subtrochanteric nonunion after reconstruction by femoral interlocking nail fixation. Methods:9 femoral aseptic subtrochanteric nonunion were treated with
plates,intramedullary nails or external femoral interlocking nails was placed with autologous bone grafting after marrow cavity was marrow was percutaneously injected into the fracture sites at seven and fourteen days after : All cases achieved a solid union except for one case of tibia fragment :We believed that the procedure should be considered for all indicated cases because it can provide solid internal fixation,accelerate fracture healing and improve circulation and activity of osteoblasts in fracture sites.
Key words Interlocking nails Nonunion Bone marrow
作者采用股骨重建髓内钉内固定与术后经皮注射自体红骨髓,治疗股骨粗隆下骨不连9例。本文对手术和红骨髓注射的方法以及机理、疗效进行了讨论。 1 材料与方法
。年龄42~68岁,平均52岁,以往平均手术次数2次,最多4次。骨折后时间10个月~4年,平均2年6个月。9例均为车祸伤。就诊时的固定物:4例为梅花髓针内固定,2例为鹅头钉内固定,2例为钢板
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