中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (47): 8923-8926.doi: 10.3969/j.issn.1673-8225.2011.47.046

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

硫酸钙人工骨材料应用于胫骨平台骨折修复34例

胡海波，李平生，龚  骏   

  1. 解放军第95医院，福建省莆田市  351100
  • 收稿日期:2011-06-10 修回日期:2011-08-21 出版日期:2011-11-19 发布日期:2011-11-19
  • 作者简介:胡海波★，男，1977年生，湖北省襄阳市人，汉族，2008年解放军第二军医大学毕业，硕士，主治医师，主要从事骨与关节损伤，骨科生物力学方面的研究。 Xiangfanhu2005@163.com

Application of calcium sulfate artificial bone in 34 cases of tibial plateau fractures

Hu Hai-bo, Li Ping-sheng, Gong Jun   

  1. Department of Orthopedics, the 95th Hospital of Chinese PLA, Putian  351100, Fujian Province, China
  • Received:2011-06-10 Revised:2011-08-21 Online:2011-11-19 Published:2011-11-19
  • About author:Hu Hai-bo★, Master, Attending physician, Department of Orthopedics, the 95th Hospital of Chinese PLA, Putian 351100, Fujian Province, China Xiangfanhu2005@163.com

PDF

444

被引次数

20

摘要：

背景：目前治疗胫骨平台骨折的观点是手术复位后植骨修复骨缺损，但在骨缺损的填充物选择方面仍有不同的意见。
目的：观察可注射型硫酸钙人工骨结合内固定置入物治疗胫骨平台骨折骨缺损的临床疗效。
方法：2009-01/2010-12采用注射硫酸钙人工骨植骨及接骨板置入内固定治疗胫骨平台骨折34例。全部病例均行X射线摄片、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移位方向。
结果与结论：34例均获得随访，随访时间6个月~2.5年，X射线片显示所有骨折均达到解剖复位或接近解剖复位，平均愈合时间为12周，无骨不连发生；无感染情况发生；2例患者切口有渗出，渗出液细菌培养为阴性。Lysholm评分(88.3±5.1)分，优13例，良17例，一般4例。初步证实微创可注射型硫酸钙人工骨结合钢板内固定重建塌陷型胫骨平台骨折能有效避免复位后的骨再丢失，改善远期疗效，可注射型硫酸钙人工骨是一种良好的骨移植替代物。

关键词: 胫骨骨折, 骨缺损, 硫酸钙, 植骨, 可注射

Abstract:

BACKGROUND: The current treatment of tibial plateau fractures is bone graft repair of bone defects after reduction surgery, but the selection of filling materials for bone defects is controversial.
OBJECTIVE: To evaluate the clinical effect of injectable artificial bone combined with plate fixation for treatment of tibial plateau fractures.
METHODS: From January 2009 to December 2010, 34 cases of collapse tibial plateau fractures were treated by injectable calcium sulfate bone graft combined with supportive plate reconstruction. All patients preoperatively underwent radiography, CT scanning and three-dimensional reconstruction in order to accurately understand the extent of fracture and fracture collapse and the flip direction of shattered fragments.
RESULTS AND CONCLUSION: All patients were followed-up for 6 months to 2.5 years. The X-ray films showed anatomic reduction or near anatomic reduction, but nonunion or infection was not found. Wound exudations were observed in two cases and the bacterial culture was negative. According to evaluation of Lysholm score, the results were excellent in 13 cases, good in 17 cases, and fair in 4 cases. The Lysholm scoring of knee function showed that the mean score was (88.3±5.1) points. Minimally invasive injectable calcium sulfate bone graft combined with plate fixation for collapse tibial plateau fracture can effectively prevent the further loss after reduction, improve the long-term results. Minimally invasive injectable calcium sulfate as an artificial bone substitute materials has good prospects for clinical application.

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