Outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures

HUI Ning-jun; YE Yi-ping; GUO Jun; LI Yao-hui; CHEN Can; LIU Kai-shun; ZHOU Xiang-xing

doi:10.11659/jjssx.12E022112

您当前的位置：

首页 >

文章列表页 >

Outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures

Clinical Research | 更新时间：2023-10-23

- Outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 10, Pages: 902-905(2023)
- 作者机构：
  
  梧州市中医医院下肢骨一科，广西梧州 543000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.12E022112
  CLC： R687.3
- Published：25 October 2023，
  
  Received：21 December 2022，
扫描看全文
惠宁军,叶义平,郭俊等.髓内钉联合植骨治疗股骨骨折术后骨不连的效果[J].局解手术学杂志,2023,32(10):902-905.

HUI Ning-jun,YE Yi-ping,GUO Jun,et al.Outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):902-905.
惠宁军,叶义平,郭俊等.髓内钉联合植骨治疗股骨骨折术后骨不连的效果[J].局解手术学杂志,2023,32(10):902-905. DOI： 10.11659/jjssx.12E022112.

HUI Ning-jun,YE Yi-ping,GUO Jun,et al.Outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):902-905. DOI： 10.11659/jjssx.12E022112.

摘要

目的

分析髓内钉联合植骨治疗股骨骨折术后骨不连的临床效果。

方法

选择我院收治的股骨骨折术后骨不连患者40例，按入院先后顺序分为对照组（20例，采用髓内钉联合传统式植骨治疗）和观察组（20例，采用髓内钉联合捆柴式植骨治疗）。比较2组术后骨痂生长情况、住院时间、骨愈合时间、下肢功能恢复情况及并发症发生情况。

结果

观察组术后2、3、6、9个月的Fernandez-Esteve骨痂评分均高于对照组（

0.05）。观察组住院时间及骨愈合时间均短于对照组（

0.05），下肢功能优良率高于对照组（

0.05），并发症总发生率低于对照组（

0.05）。

结论

髓内钉联合捆柴式植骨治疗股骨骨折术后骨不连，能促进骨痂生长，缩短住院时间和骨愈合时间，促进下肢功能恢复，且并发症少。

Abstract

Objective

To analyze the clinical outcome of intramedullary nailing combined with bone grafting in the treatment of nonunion after surgery of femoral fractures.

Methods

A total of 40 patients with nonunion after surgery of femoral fractures in our hospital were selected and divided into the control group （20 cases， received intramedullary nailing combined with traditional bone grafting） and the observation group （20 cases， received intramedullary nailing combined with wood-bundling bone grafting） according to the order of admission. The callus growth， hospital stay， bone healing time， recovery of lower limb function and complications were compared between the two groups.

Results

The Fernandez-Esteve callus scores 2， 3， 6， and 9 months after operation in the observation group were higher than those in the control group （

0.05）. The hospital stay and bone healing time of the observation group were shorter than those of the control group （

0.05）， the excellent and good rate of lower limb function was higher than that of the control group （

0.05）， and the total incidence of complications was lower than that of the control group （

0.05）.

Conclusion

The intramedullary nailing combined with wood-bundling bone grafting in the treatment of nonunion after surgery of femoral fractures can promote the callus growth， shorten the hospital stay and bone healing time， and restore lower limb function with less complications.

关键词

髓内钉植骨股骨骨折骨不连不愈合

Keywords

intramedullary nailingbone graftingfemoral fracturesnonunion of bonedisunion

references

刘兵，马翔宇，杨超，等.外侧锁定钢板联合髓内钛笼内固定治疗股骨远端C3型骨折的临床疗效［J］.局解手术学杂志，2023，32（1）：56-60.doi：10.11659/jjssx.05E022030http://dx.doi.org/10.11659/jjssx.05E022030.

孙振国，翁伟，杨红航，等.双钢板技术结合自体髂骨植骨治疗髓内钉术后股骨骨不连［J］.中国骨伤，2021，34（3）：288-292.doi：10.12200/j.issn.1003-0034.2021.03.019http://dx.doi.org/10.12200/j.issn.1003-0034.2021.03.019.

林龙，樊展，周端江，等.带锁髓内钉附加钢板联合植骨治疗肱骨干骨折术后骨不连［J］.临床骨科杂志，2020，23（5）：715-716.doi：10.3969/j.issn.1008-0287.2020.05.037http://dx.doi.org/10.3969/j.issn.1008-0287.2020.05.037.

杨思宇，汤明，汪国栋，等.髓内钉附加钢板与单纯髓内钉固定治疗股骨转子下骨不连的临床效果对比［J］.创伤外科杂志，2021，23（7）：497-501.doi：10.3969/j.issn.1009-4237.2021.07.005http://dx.doi.org/10.3969/j.issn.1009-4237.2021.07.005.

杨思宇，郑益钒，汪国栋，等.锁定加压接骨板动力化联合自体骨移植与单纯植骨治疗股骨无菌性骨不连的疗效比较［J］.中华创伤骨科杂志，2021，23（8）：681-687.doi：10.3760/cma.j.cn115530-20210202-00066http://dx.doi.org/10.3760/cma.j.cn115530-20210202-00066.

谢峰，秦敏.附加钢板联合自体髂骨植骨治疗股骨干骨折髓内钉术后骨不连的临床疗效［J］.安徽医学，2021，42（1）：67-70.doi：10.3969/j.issn.1000-0399.2021.01.016http://dx.doi.org/10.3969/j.issn.1000-0399.2021.01.016.

Mann JA， Pedowitz DI.Evaluation and treatment of navicular stress fractures， including nonunions， revision surgery， and persistent pain after treatment［J］.Foot Ankle Clin，2009，14（2）：187-204.doi：10.1016/j.fcl.2009.01.003http://dx.doi.org/10.1016/j.fcl.2009.01.003.

吴航天，赵行琪，胡岩君，等.骨折不愈合的诊断及治疗建议［J］.生物骨科材料与临床研究，2019，16（4）：33-36.doi：10.3969/j.issn.1672-5972.2019.04.009http://dx.doi.org/10.3969/j.issn.1672-5972.2019.04.009.

Peiró A，Andres F，Fernandez-Esteve F.Acute Monteggia lesions in children［J］. J Bone Joint Surg Am，1977，59（1）：92-97.doi：10.1016/0022-3468（77）90480-8http://dx.doi.org/10.1016/0022-3468（77）90480-8.

Johner R，Wruhs O.Classification of tibial shaft fractures and correlation with results after rigid internal fixation［J］.Clin Orthop Relat Res，1983（178）：7-25.doi：10.1097/00003086-198309000-00003http://dx.doi.org/10.1097/00003086-198309000-00003.

叶浩波，孙亮，薛汉中，等.双钢板内固定联合自体髂骨植骨在股骨骨不连中的应用现状及研究进展［J］.中华骨科杂志，2020，40（16）：1118-1125.doi：10.3760/cma.j.cn121113-20200521-00342http://dx.doi.org/10.3760/cma.j.cn121113-20200521-00342.

马飞，谢梦琦，郭明明，等.关节突关节内植骨在下颈椎后路减压融合术中的应用［J］.局解手术学杂志，2021，30（8）：680-685.doi：10.11659/jjssx.02E021095http://dx.doi.org/10.11659/jjssx.02E021095.

屠永刚，任绍东，戚蕉妹，等.两种植骨方式治疗骨延迟愈合和骨不连的比较［J］.中国矫形外科杂志，2020，28（8）：717-720.doi：10.3977/j.issn.1005-8478.2020.08.10http://dx.doi.org/10.3977/j.issn.1005-8478.2020.08.10.

马存义，翟云，王建红.InterTan髓内钉内固定联合自体髂骨植骨治疗股骨粗隆间骨折钉板系统内固定失败的可行性和疗效［J］.临床和实验医学杂志，2022，21（10）：1078-1081.doi：10.3969/j.issn.1671-4695.2022.10.019http://dx.doi.org/10.3969/j.issn.1671-4695.2022.10.019.

吴浩俊，谭荣雄，何艳霞，等.磷酸钙活性人工骨与自体骨颗粒环抱式植骨治疗四肢骨不连［J］.中国临床解剖学杂志，2020，38（2）：202-207.doi：10.13418/j.issn.1001-165x.2020.02.020http://dx.doi.org/10.13418/j.issn.1001-165x.2020.02.020.

孙健平，薛汉中，孙亮，等.股骨近端解剖锁定钢板加自体髂骨植骨固定治疗股骨转子间骨折内固定失败［J］.中华创伤骨科杂志，2020，22（9）：771-776.doi：10.3760/cma.j.cn115530-20200226-00108http://dx.doi.org/10.3760/cma.j.cn115530-20200226-00108.

Xing W，Pan Z，Sun L，et al.Sliding bone graft combined with double locking plate fixation for the treatment of femoral shaft nonunion［J］.J Int Med Res，2019，47（5）：2034-2044.doi：10.1177/0300060 519835334http://dx.doi.org/10.1177/0300060519835334.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Proximal humeral locking plate combined with allogeneic femoral head structure bone grafting for the treatment of proximal humeral fracture

Related Author

LI Guo

PENG Ya-yong

DAI Zhi-bo

Related Institution

Department of Traumatic Orthopedics， First Affiliated Hospital of Hunan College of Traditional Chinese Medicine/Hunan Provincial Direct Hospital of Traditional Chinese Medicine

⁰