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| 应用自体髂骨结合同种异体骨重建塌陷型胫骨平台骨折的疗效分析 |
| 王文跃1,年申生2,曹烈虎,吴永发,巴根,王俭1,胡江1,苏佳灿2* |
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| (1. 浙江省海盐人民医院骨科,嘉兴 314300;2. 第二军医大学长海医院骨科,上海 200433) |
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| 摘要: |
| 目的 观察自体髂骨结合同种异体骨重建塌陷型胫骨平台骨折的的临床效果,并发症。方法 2007年6月～2008年12月采用自体髂骨结合同种异体骨重建塌陷型胫骨平台骨27例。按Schatzker胫骨平台骨折分类法，Ⅱ型骨折19例，Ⅲ型骨折8例，全部病例术前均行线正侧位摄片、CT扫描及三维重建，以准确了解骨折的塌陷和粉碎程度及骨折碎片的翻转方向。凡骨折塌陷>5mm，且伤前无关节退行性变者， 均作为该手术方法的适应证。结果 27例患者术后获得1年以上随访，平均随访1年～2.5年(1.5年)，骨折全部愈合，术后无感染发生，无切口边缘皮肤坏死，无骨折块坏死。结论 自体髂骨结合同种异体骨，可弥补自体骨量不足的缺陷，有效避免复位后的再丢失，增强骨折愈合。 |
| 关键词: 骨移植 髂骨 同种异体骨 胫骨平台 骨折 |
| DOI：10.3724/SP.J.1008.2011.0694 |
| 投稿时间：2011-02-25修订日期：2011-06-08 |
| 基金项目:中国博士后科研基金(20100470756),上海博士后基金（11r21412700）. |
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| Applying autogenous iliac bone combined with allogeneic cortical bone for reconstructing collapse of the tibial plateau fracture |
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| Abstract: |
| Objective To investigate clinical therapeutic effect and complication applying autogenous iliac bone combined with allogeneic cortical bone reconstructing the collapse of the tibial plateau fracture. Method June 2007 ~ December 2008 combined with autogenous iliac bone allograft reconstruction of tibial plateau bone collapse in 27 cases. According to Schatzker classification of tibial plateau fractures, Ⅱ fracture in 19 cases, Ⅲ fracture in 8 cases, all patients underwent preoperative lateral radiograph line is, CT scan and reconstruction, in order to accurately understand the extent of fractures and fracture collapse and crush Flip the direction of debris. Where the fracture collapse> 5mm, and no joint degeneration before injury who are treated as indications of the surgical method. Results 27 patients received more than 1 year follow-up after an average follow-up of 1.5 years (1 ~ 2.5), the fractures healed, no postoperative infection, no wound edge skin necrosis, no necrosis of fracture fragments. Conclusion Applying autogenous iliac bone combined with allogeneic cortical bone reconstructing the collapse of the tibial plateau fracture may compensate for the lack of allogeneic cortical bone, and enhance fracture healing. |
| Key words: autogenous iliac bone, allogeneic cortical bone, tibial plateau fracture |
