[1]胡和军,吴法强,邓雄伟,等.骨皮质切剥术联合生龙接骨胶囊口服治疗四肢长骨干骨折不愈合[J].中医正骨,2016,28(10):64-66.
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骨皮质切剥术联合生龙接骨胶囊口服治疗四肢长骨干骨折不愈合()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年10期
页码:
64-66
栏目:
临床报道
出版日期:
2016-10-20

文章信息/Info

作者:
胡和军吴法强邓雄伟陈德旺徐南云张健
江西省南昌市洪都中医院,江西 南昌 330006
关键词:
骨折不愈合 股骨骨折 胫骨骨折 肱骨骨折 尺骨骨折 桡骨骨折 骨皮质切剥术 生龙接骨胶囊
摘要:
目的:探讨骨皮质切剥术联合生龙接骨胶囊口服治疗四肢长骨干骨折不愈合的临床疗效和安全性。方法:2012年6月至2015年10月,采用骨皮质切剥术联合生龙接骨胶囊口服治疗四肢长骨干骨折不愈合患者60例,男48例、女12例; 年龄26~65岁,中位数36岁。股骨骨折25例、胫骨骨折10例、肱骨骨折10例、尺骨骨折10例、桡骨骨折5例,均接受过骨折切开复位内固定手术治疗。骨折不愈合时间1~5年,中位数1.5年。骨折不愈合类型为肥大性26例、营养不良性22例、萎缩性12例。治疗后随访观察骨折愈合、患肢功能恢复及并发症发生情况。结果:60例患者均获随访,随访时间6~24个月,中位数12个月; 骨折均愈合,愈合时间4~12个月,中位数6个月。末次随访时,肱骨、尺骨、桡骨骨折者,肩关节前屈70°~90°、上举150°~160°、后伸35°~40°、外展80°~90°、内收20°~40°、内旋45°~60°、外旋45°~60°,肘关节屈曲120°~140°、伸直0°、后伸5°~10°,腕关节背伸30°~50°、掌屈40°~50°、尺偏30°~40°、桡偏25°~30°; 股骨、胫骨骨折者,髋关节屈曲110°~130°、伸直0°、后伸5°~10°、内收20°~30°、外展30°~45°、内旋40°~50°、外旋30°~40°,膝关节屈曲90°~120°、伸直0°、过伸0°~5°。均未发生感染、血管神经损伤及患肢短缩等并发症。结论:骨皮质切剥术联合生龙接骨胶囊口服治疗四肢长骨干骨折不愈合,骨折愈合和患肢功能恢复好,且安全可靠。

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备注/Memo

备注/Memo:
基金项目:江西省科技计划项目(20133BBG70052)
通讯作者:邓雄伟 E-mail:dengxiongwei1130@163.com
更新日期/Last Update: 2016-10-20