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中华老年骨科与康复电子杂志 ›› 2019, Vol. 05 ›› Issue (02) : 118 -122. doi: 10.3877/cma.j.issn.2096-0263.2019.02.011

所属专题: 文献

综述

动力化治疗下肢长骨骨折术后延迟愈合的研究进展
孙再杰1, 杨思宇1, 汪国栋1, 陈龙2, 蔡贤华1, 刘曦明1,()   
  1. 1. 430070 武汉,中国人民解放军中部战区总医院骨科,湖北省骨创伤救治临床医学研究中心
    2. 430079 武汉,湖北672中西医结合骨科医院脊柱外科
  • 收稿日期:2018-08-05 出版日期:2019-04-05
  • 通信作者: 刘曦明
  • 基金资助:
    湖北省卫生计生委2018年度面上项目(WJ2018H0064); 湖北省技术创新重大项目(2017ACA099)

Progress in the research on delayed union after long bone fracture of lower limb treated by dynamization

Zaijie Sun1, Siyu Yang1, Guodong Zhang1, Long Chen2, Xianhua Cai1, Ximing Liu1,()   

  1. 1. Department of Orthopedics, Clinical Medical Research Center of Bone Trauma Treatment in Hubei Province, Central Theater Command General Hospital of the PLA, Wuhan 430070, China
    2. Department of Orthopedics, Hubei 672 Orthopedics Hospital of Integrated Chinese & Western Medicine, Wuhan 430079, China
  • Received:2018-08-05 Published:2019-04-05
  • Corresponding author: Ximing Liu
引用本文:

孙再杰, 杨思宇, 汪国栋, 陈龙, 蔡贤华, 刘曦明. 动力化治疗下肢长骨骨折术后延迟愈合的研究进展[J]. 中华老年骨科与康复电子杂志, 2019, 05(02): 118-122.

Zaijie Sun, Siyu Yang, Guodong Zhang, Long Chen, Xianhua Cai, Ximing Liu. Progress in the research on delayed union after long bone fracture of lower limb treated by dynamization[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2019, 05(02): 118-122.

下肢长骨骨折术后延迟愈合是骨折术后主要并发症之一。骨折延迟愈合一旦出现,应给予积极的干预措施,避免进一步发展成骨不连。"动力化"技术治疗髓内钉术后骨折延迟愈合,具有微创、高效的特点,临床上已得到广泛运用。锁定加压接骨板(LCP)"动力化"作为一项新技术,有临床证据显示对LCP术后骨折延迟愈合有显著疗效。现就临床上针对下肢长骨干骨折术后延迟愈合的动力化治疗进展作一综述。

Delayed union remains one of the major complications after the operation of lower limb long bone fractures. The delayed union of fracture should be given positive interventions to avoid further development of bone nonunion. The dynamization technology for the treatment of fracture delayed union after the intramedullary nailing, with features of minimally invasive and highly effective, has been widely used in clinics. LCP "dynamization" as a new technique, clinical evidence has showed that there is a significant effect on fracture delayed union treated by LCP. The progress of the dynamic therapy for delayed healing of the lower limb long shaft fractures is reviewed.

图7~12 男性,20岁,右股骨骨折,左耻骨上下支骨折,右髌骨骨折,右膝半月板韧带损伤,全身多处软组织损伤,采用右股骨骨折闭合复位内固定+右髌骨骨折切开复位内固定术。动力化方式:移除稳定一端的静态锁钉,保留动力孔中的螺钉。图7 术前X线片;图8 术后第二天X线片;图9 动力化术前X线片;图10 动力术化后第二天X线片;图11 髓内钉取出前X线片;图12 髓内钉取出后的X线片
图14 LCP板的动力孔设计允许普通螺钉产生相对轴向微动
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