查詢結果分析
來源資料
相關文獻
- Nonunion of the Femur Treated with Conventional Osteosynthesis Combined with Autogenous and Strut Allogeneic Bone Grafts
- The Use of a Strut Allograft to Augment Internal Fixation of Nonunion Fractures in Osteoporotic Patients--A Report of Two Cases
- 手腕舟狀骨骨折不癒合以自體骨移植及赫伯釘內固定治療
- 以多環節椎弓螺絲內固定系統從後位做矯正及固定術治療退化性脊椎側彎
- The Internal Fixation in Maxillofacial Bone Fractures--A Clinical Analysis
- Bone Marrow Cryopreservation and Clinical Implications in Autologous Bone Marrow Transplantation
- Ankle Arthrodesis: Internal Non-Compression Arthrodesis Versus Internal Compression Arthrodesis
- Efficacy of Autologous Percutaneous Bone Marrow Graft Injection for Treatment of Nonunion of the Tibia
- 一種模擬自體骨的骨移植材料:PepGen P-15[fef0]
- Intracardiac Migration of a Steinman Pin Following Fixation of Clavicular Fracture: A Case Report
頁籤選單縮合
題名 | Nonunion of the Femur Treated with Conventional Osteosynthesis Combined with Autogenous and Strut Allogeneic Bone Grafts=使用傳統內固定合併自體骨及異體骨板移植來治療股骨不癒合 |
---|---|
作者姓名(中文) | 翁聆修; 王俊聞; | 書刊名 | 長庚醫學 |
卷期 | 27:4 2004.04[民93.04] |
頁次 | 頁268-274 |
分類號 | 416.26 |
關鍵詞 | 不癒合; 內固定; 自體骨; 異體骨板; Nonunion; Conventional osteosynthesis; Autogenous; Strut allogeneic bone graft; |
語文 | 英文(English) |
中文摘要 | 背景:本篇在探討使用傳統內固定合併自體骨及異體骨板移植來治療股骨不癒合的結果。 方法:回顧追蹤18個病人使用內固定(8位九十五度固定角度鋼板、7位骨髓內釘、2位可動式髖固定鋼板、及1位髁頂鋼板)及自體骨和異體骨板來治療股骨不癒合,在接受手術前,平均開刀的次數為1.8次,從事件發生起迄的期間是32.5個月,我們的追蹤時間平均是32.2個月。 結果:在最後追蹤時,所有18個骨折不癒合皆已經癒合,有兩位病人手術中的細菌培養呈陽性(表皮葡萄球菌),經抗生素治療後,並不需南額外的治療,5位病人因已癒合或合併骨釘刺激周圍組織而將內固定拔除,其中1位同時接受腎四頭肌成形術來治療膝活動受限,有2位病人因膝關節活動受限或嵌入而需將突出的異體骨板外除。 結論:對於股骨的不癒合,遵守處理不癒合的原則,以好的內固定再加上異體骨板以增加穩定度及癒合潛力是一項很好的解決方式。 |
英文摘要 | Background: In this study, we reviewed the results of conventional osteosynthesis combined with strut onlay allografts and autogenous bone grafts as the treatment for nonunion of the femur. Methods: We conducted a retrospective study of 18 patients with nonunion of the femur treated with internal fixation (eight 95° fixed-angled blade plates, 7 intramedullary nails, 2 dynamic hip compression plates and screws, and 1 condylar buttress plate) and autogenous bone grafts and cortical strut allografts. There were 1.8 operations on average before surgery. The average time from the initial treatment of the fracture or osteotomy to surgery was 32.5 months. The average follow-up was 32.2 months. Results: All 18 nonunions had healed by the time of follow-up. Positive intraoperative cultures (Staphylococcus epidermidis) in 2 patients were resolved by parenteral antibiotics with no additional treatment. Removal of implants was required in 5 patients because of screw irritation or bony union. One concomitant quadricepsplasty as well as 2 excisions of a protruding graft were required because of restricted knee motion or impingement. Conclusions: For difficult nonunions of the femur in the current study, strict adherence to the principles of the treatment of nonunion and the addition of strut allografts to enhance stability and repair potential proved be a good alternative. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。