中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (4): 745-747.doi: 10.3969/j.issn.1673-8225.2012.04.040

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

回收扩髓产物自体移植促进下肢长骨干骨折愈合*

田晓华,郑曙翘,贾其余,俞  宇   

  1. 合肥市第二人民医院骨一科,安徽省合肥市 230011
  • 收稿日期:2011-11-02 修回日期:2011-11-12 出版日期:2012-01-22
  • 作者简介:田晓华,男,1960年生,安徽省芜湖市人,汉族,主任医师,主要从事四肢与脊柱创伤外科方面研究。houchun1960@163.com
  • 基金资助:

    安徽省合肥市科技局2008年重点科研课题[(合科)字2008(1010)号],回收利用扩髓产物进行自体移植促进骨折愈合的临床研究

Autologous transplantation of recovered reaming product to promote the union of long bone fracture in the lower limb  

Tian Xiao-hua, Zheng Shu-qiao, Jia Qi-yu, Yu Yu   

  1. First Department of Orthopedics, Second People’s Hospital of Hefei, Hefei  230011, Anhui Province, China
  • Received:2011-11-02 Revised:2011-11-12 Online:2012-01-22
  • About author:Tian Xiao-hua, Chief physician, First Department of Orthopedics, Second People’s Hospital of Hefei, Hefei 230011, Anhui Province, China houchun1960@163.com
  • Supported by:

    Key Research Projects of Science and Technology Bureau of Anhui Province in 2008, No. 20081010*

摘要:

背景:扩髓产物中具有多种促进骨折愈合成分,有助于骨折早期组织愈合及骨再生。
目的:观察扩髓产物促进下肢长骨干骨折愈合的临床治疗效果。
方法:回顾合肥市第二人民医院2008-01/2010-11应用扩髓带锁髓内钉治疗下肢长骨干骨折病例78例,其中采取开放复位利用扩髓产物回植者38例,而采取闭合复位者40例。
结果与结论:两组患者下肢长骨干骨折处均出现愈合。应用扩髓产物回植的患者出现骨痂、骨折线模糊及消失的时间均早于闭合复位的患者(P < 0.05)。提示应用带锁髓内钉的同时采用扩髓产物自体移植能促进下肢长骨干骨折愈合。

关键词: 带锁髓内钉, 促骨折愈合, 扩髓产物, 开放复位, 扩髓产物留取装置

Abstract:

BACKGROUND: There are many ingredients to promote fracture healing in reaming product, which is helpful for bone regeneration and tissue healing of early fracture.
OBJECTIVE: To investigate the clinical therapeutic effect of reaming product on the promotion of long bone fracture union in the lower limb.
METHODS: Totally 78 patients from the Second people’s Hospital of Hefei between January 2008 to November 2010 were treated with reamed interlocking intramedullary nailing for the treatment of long bone fractures in lower limb. 38 patients were open reduction using reaming product replantation as open group, and 40 cases were closed reduction as control.
RESULTS AND CONCLUSION: Long bone of lower limb healed in the two groups. Time of bone callus appearance, fracture line became ambiguous and disappear in the open group was earlier than that in the control group (P < 0.05). It is indicated that interlocking intramedullary nailing combined with autologous transplantation of reaming product can promote the union of long bone fracture in the lower limb

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