镶嵌式外固定架治疗长骨骨不连17例体会

目的：探讨长骨骨不连的一种治疗方法。方法：2007年1月至2009年8月,采用镶嵌式外固定架治疗17例长骨骨不连。本组17例,男11例,女6例,年龄16-64岁,平均31岁。2例为血源性骨髓炎病理性骨折后,股骨、胫骨各1例;6例为创伤性骨髓炎后骨折不愈,肱骨1例,股骨1例,胫骨4例;9例为手术后无感染性骨不连,肱骨2例,股骨2例,胫骨5例;7例有不同程度畸形,6例有1.5-8cm骨短缩,其中2例同时行骨痂延长术。结果：全部病人均获随访,随访时间9-20个月,以1975年天津全国骨科会议制定的骨折愈合标准为依据,本组17例病人均获得临床愈合,骨不连处平均愈合时间为4～9月（平均6.2月）,1例延长8cm,另1例延长6cm。结论：利用镶嵌式外固定架治疗长骨骨不连一种简单有效的方法。

Inlaid external fixator for long bone nonunion

Objective：To discuss a therapeutic method of long bone nonunion.Methods：From January 2007 to August 2009,with 17 cases of inlaid external fixator in the treatment of long bone nonunion,11 males and 6 females,aged 16 to 64,average age is 31 years old.2 cases of blood-borne osteomyelitis after pathological fracture,Femur and tibia both had 1 case;6 cases of post-traumatic os-teomyelitis nonunion,humerus in 1 case,1 case of the femur,4 cases tibia;9 cases of without infection after surgery nonunion,2 cases of humerus,2 cases of femur,5 cases of tibial;7 cases of varying degrees of deformity;6 cases had 1.5-8cm bone shortening,2 of them cal-lotasi.Result：All patients were followed up for 9-20 months,to the National Orthopaedic Conference in Tianjin in 1975 to develop stan-dards as the basis of fracture healing,all 17 patients in this group were clinically cured,the part of nonunion healing time needs 4 to 9 months（average 6.2 months）,One lengthened 8cm,the other one lengthened 6cm.Conclusion：The treatment of using inlaid external fix-ator for long bone nonunion is a simple and effective method.