骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的临床效果
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摘要
目的研究骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的临床效果。方法选取2016年4月1日～2017年4月1日我院收治的90例四肢长骨骨不连患者作为研究对象,根据治疗方法的不同分为两组,每组各45例。对照组实施骨皮质剥脱术,观察组实施骨皮质剥脱术联合锁定接骨板内固定术。比较两组患者的临床相关指标、关节活动度、肌力、日常生活能力评分、临床效果及并发症的发生情况。结果观察组患者的手术时间、住院时间、骨折愈合时间均短于对照组,出血量少于对照组,差异有统计学意义(P<0.05);观察组治疗后的关节活动度、肌力评分、日常生活能力评分及治疗优良率均高于对照组,差异有统计学意义(P<0.05);观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论骨皮质剥脱术联合锁定接骨板内固定术应用于四肢长骨骨不连患者的治疗中,有效性和安全性均较高。
Objective To study the clinical effect of cortical exfoliation combined with locking plate internal fixation in the treatment of long bone nonunion of extremities. Methods A total of 90 cases patients with long bone nonunion of the extremities treated in our hospital from April 1, 2016 to April 1, 2017 were selected as the subjects, and divided into two groups according to different treatment methods, with 45 cases in each group. Patients in the control group were treated with cortical exfoliation, and patients in the observation group were treated with cortical exfoliation combined with locking plate internal fixation. The clinically relevant indicators, joint mobility, muscle strength, daily living ability score, clinical effect and complications between the two groups were compared. Results The operation time, hospitalization time and fracture healing time in the observation group were shorter than those in the control group, and the amount of bleeding was less than that in the control group, and the differences were statistically significant(P<0.05).The joint mobility, muscle strength scores, daily living ability score data and treatment excellent rate in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The total complication rate in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Cortical exfoliation combined with locking plate internal fixation is effective and safe in the treatment of patients with long bone nonunion of extremities.
Objective To study the clinical effect of cortical exfoliation combined with locking plate internal fixation in the treatment of long bone nonunion of extremities. Methods A total of 90 cases patients with long bone nonunion of the extremities treated in our hospital from April 1, 2016 to April 1, 2017 were selected as the subjects, and divided into two groups according to different treatment methods, with 45 cases in each group. Patients in the control group were treated with cortical exfoliation, and patients in the observation group were treated with cortical exfoliation combined with locking plate internal fixation. The clinically relevant indicators, joint mobility, muscle strength, daily living ability score, clinical effect and complications between the two groups were compared. Results The operation time, hospitalization time and fracture healing time in the observation group were shorter than those in the control group, and the amount of bleeding was less than that in the control group, and the differences were statistically significant(P<0.05).The joint mobility, muscle strength scores, daily living ability score data and treatment excellent rate in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The total complication rate in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Cortical exfoliation combined with locking plate internal fixation is effective and safe in the treatment of patients with long bone nonunion of extremities.
引文
[1]刘绍刚.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的疗效评价[J].当代医学,2016,22(24):52-53.
[2]张志明.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的临床价值分析[J].当代医学,2017,23(19):57-59.
[3]张建军,黄鲁豫,冯晓飞,等.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的疗效[J].临床医学研究与实践,2017,2(22):43-44.
[4]陈焱,郭景芳,秦春耀,等.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连临床疗效分析[J].中外医疗,2016,35(33):60-62.
[5]吴悦.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的效果和安全性[J].中国综合临床,2015,31(2):169-171.
[6]丛志国.初探骨皮质剥脱术联合内固定术治疗四肢长骨骨不连[J].当代医学,2016,22(31):49-50.
[7]万贵章,庞建文.骨皮质剥脱联合锁定接骨板内固定治疗四肢长骨骨不连的疗效和安全性分析[J].现代诊断与治疗,2015,26(20):4769-4770.
[8]冷通国,王剑.骨皮质剥脱术与锁定接骨板内固定术治疗四肢长骨骨不连的效果及安全性观察[J].中国社区医师,2017,33(7):28-29.
[9]张伟强,朱东平,孙大辉,等.骨搬运与LCP结合植骨内固定治疗下肢感染性骨不连的比较[J].中国骨与关节损伤杂志,2016,31(5):486-488.
[10]褚云峰,肖颖锋,万圣祥,等.植骨在预防四肢骨折术后骨不连的应用价值[J].中国实用医药,2016,11(18):123-124.
[11]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[12]徐振东,孟乘飞,汪国栋,等.锁定加压接骨板联合植骨治疗胫腓骨开放性骨折外固定架术后骨不连[J].华南国防医学杂志,2016,30(8):504-506.
[13]陆定贵,唐乾利,彭维波,等.锁定接骨板外固定和组合臂式外固定架治疗胫骨开放性骨折的比较研究[J].中国修复重建外科杂志,2017,31(9):1146-1148.
[14]赵家安.锁定接骨板内固定治疗移位的关节内跟骨骨折的临床观察[J].中外医学研究,2018,16(20):15-16.
[15]王金石.四肢长骨开放性骨折行早期内固定系统治疗效果分析[J].中西医结合心血管病电子杂志,2017,5(14):100.
[16]陈冰,樊培新,高彦军.带锁髓内钉和动力加压钢板固定治疗四肢创伤骨折后骨不连的效果对比[J].中国伤残医学,2017,25(15):31-33.
[2]张志明.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的临床价值分析[J].当代医学,2017,23(19):57-59.
[3]张建军,黄鲁豫,冯晓飞,等.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的疗效[J].临床医学研究与实践,2017,2(22):43-44.
[4]陈焱,郭景芳,秦春耀,等.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连临床疗效分析[J].中外医疗,2016,35(33):60-62.
[5]吴悦.骨皮质剥脱术联合锁定接骨板内固定术治疗四肢长骨骨不连的效果和安全性[J].中国综合临床,2015,31(2):169-171.
[6]丛志国.初探骨皮质剥脱术联合内固定术治疗四肢长骨骨不连[J].当代医学,2016,22(31):49-50.
[7]万贵章,庞建文.骨皮质剥脱联合锁定接骨板内固定治疗四肢长骨骨不连的疗效和安全性分析[J].现代诊断与治疗,2015,26(20):4769-4770.
[8]冷通国,王剑.骨皮质剥脱术与锁定接骨板内固定术治疗四肢长骨骨不连的效果及安全性观察[J].中国社区医师,2017,33(7):28-29.
[9]张伟强,朱东平,孙大辉,等.骨搬运与LCP结合植骨内固定治疗下肢感染性骨不连的比较[J].中国骨与关节损伤杂志,2016,31(5):486-488.
[10]褚云峰,肖颖锋,万圣祥,等.植骨在预防四肢骨折术后骨不连的应用价值[J].中国实用医药,2016,11(18):123-124.
[11]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[12]徐振东,孟乘飞,汪国栋,等.锁定加压接骨板联合植骨治疗胫腓骨开放性骨折外固定架术后骨不连[J].华南国防医学杂志,2016,30(8):504-506.
[13]陆定贵,唐乾利,彭维波,等.锁定接骨板外固定和组合臂式外固定架治疗胫骨开放性骨折的比较研究[J].中国修复重建外科杂志,2017,31(9):1146-1148.
[14]赵家安.锁定接骨板内固定治疗移位的关节内跟骨骨折的临床观察[J].中外医学研究,2018,16(20):15-16.
[15]王金石.四肢长骨开放性骨折行早期内固定系统治疗效果分析[J].中西医结合心血管病电子杂志,2017,5(14):100.
[16]陈冰,樊培新,高彦军.带锁髓内钉和动力加压钢板固定治疗四肢创伤骨折后骨不连的效果对比[J].中国伤残医学,2017,25(15):31-33.
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