骨搬移技术治疗股骨干大段感染性骨不连的效果

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Abstract Objective To investigate the effect of bone transfer technique in the treatment of infectious nonunion of large femoral shaft.Methods From October 2015 to October 2018,40 patients with massive infectious nonunion of femoral shaft in our hospital were selected and divided into the control group (n=20)and the study group (n=20)according to random number table method.The patients in the control group were treated with routine operation,and the patients in the study group were treated with bone transfer technique.The therapeutic effect,bleeding volume,operation time,hospitalization time and complication rate were compared between the two groups.Results The total effective rate of the study group was 95.00%,which was higher than that of the control group (65.00%),with significant difference (P＜0.05).The total incidence of complications in the study group was 5.00%,which was lower than that in the control group(30.00%),the difference was statistically significant(P＜0.05).The amount of bleeding in the study group was less than that in the control group,and the operation time and hospitalization time in the study group were shorter than those in the control group,the difference was statistically significant(P＜0.05).Conclusion The bone transfer technique is effective in the treatment of large segment of infectious nonunion of the femoral shaft.This technique can not only obtain ideal curative effect,but also reduce the operation time and the amount of bleeding,and prevent the occurrence of complications,make the patient recover better and faster.

Key words： Femoral shaft Large segmental infectious nonunious Bone transfer technique Complication Therapeutic effect

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	Articles by authors
	HONG Yong-jun
	ZENG Cheng-guan
	LIN Qiu-yu
	RUAN Cai-zheng
	OUYANG Si-qiang

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HONG Yong-jun,ZENG Cheng-guan,LIN Qiu-yu, et al. Effect of bone transfer technique in the treatment of infectious nonunion of large femoral shaft[J]. 中国当代医药, 2019, 26(16): 115-117.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/115

[15]	关威.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[J].中国当代医药，2019，26（1）：113-115.
[16]	付智.阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合 9 例[J].光明中医，2018，33（6）：818-820.
[1]	刘亮，栗树伟，李岩，等.骨搬运技术与骨诱导膜技术治疗感染性骨不连的疗效分析[J].中华创伤骨科杂志，2017，19（1）：81-84.
[2]	张超，李文波，孙英杰，等.感染性骨缺损的手术治疗现状[J].中国骨与关节损伤杂志，2017，32（10）：1116-1118.
[3]	Blum ALL，Bongiovanni JC，Morgan SJ，et al.Complications associated with distraction osteogenesis for infected nonunion of the femoral shaft in the presence of a bone defect：a retrospective series[J].J Bone Joint Surg Br，2010，92（4）：565-570.
[4]	戚晓阳，邱旭升，施鸿飞，等.大段骨缺损的治疗进展[J].实用骨科杂志，2017，23（8）：715-719.
[5]	解冰，田竞，刘欣伟，等.抗生素涂层髓内钉结合膜诱导技术治疗髓内钉术后感染性骨不连临床疗效[J].创伤与急危重病医学，2017，5（5）：271-274.
[6]	王永琨，陈昊，黄燕.双钢板联合自体植骨治疗股骨干骨折术后骨不连[J].实用骨科杂志，2017，23（3）：263-264.
[7]	谢广渊，潘伟城，谭志斌，等.人工骨联合自体骨移植治疗感染性骨不连的研究[J].现代医学，2017，45（6）：835-837.
[8]	杨朝旭，刘建恒，张里程，等.两种手术治疗股骨干骨折后骨不连的疗效分析[J].解放军医学院学报，2016，37（1）：24-26.
[9]	Eom TW，Kim JJ，Oh HK，et al.Challenge to treat hypertrophic nonunion of the femoral shaft：the Poller screw augmentation technique[J].Eur J Orthop Surg Traumatol，2016，26（6）：1-5.
[10]	黄小俊，薛健康，张淏瑞，等.Ilizarov技术治疗股骨感染性骨不连或骨缺损[J].局解手术学杂志，2016，25（7）：494-497.
[11]	Kim JR，Chung WC，Shin SJ，et al.The management of aseptic nonunion of femoral shaft fractures after interlocking intramedullary nailing[J].Eur J Orthop Surg Traumatol，2011，21（3）：171-177.
[12]	朱艳风，于健，张伟，等.骨搬移技术治疗股骨干大段感染性骨不连的疗效[J].中华创伤杂志，2018，2018，34（11）：1014-1019.
[13]	唐文，高辉，杨亚东，等.Ilizarov外固定骨搬移技术治疗胫骨感染性骨不连及骨缺损[J].江西医药，2015，50（1）：3-6.
[14]	陈定启，潘宇朝，陈德焱，等.阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合的效果观察[J].中国临床新医学，2017，10（4）：350-352.