| 诱导骨基质植入在治疗胫骨平台骨折中的应用 |
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Received:September 23, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘永辉 |
Liu Yong-hui |
青岛市海慈医疗集团海慈医院骨科,山东青岛266033 |
Department of Orthopaedic,Haici Hospital of Qingdao,Medical Center of Haici,Qingdao 266033,Shandong,China |
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| 王开友 |
Wang Kai-you |
青岛市海慈医疗集团海慈医院骨科,山东青岛266033 |
Department of Orthopaedic,Haici Hospital of Qingdao,Medical Center of Haici,Qingdao 266033,Shandong,China |
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| 辛云 |
Xin Yun |
青岛市海慈医疗集团海慈医院骨科,山东青岛266033 |
Department of Orthopaedic,Haici Hospital of Qingdao,Medical Center of Haici,Qingdao 266033,Shandong,China |
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| 曹斌 |
CAO Bin |
青岛市海慈医疗集团海慈医院骨科,山东青岛266033 |
Department of Orthopaedic,Haici Hospital of Qingdao,Medical Center of Haici,Qingdao 266033,Shandong,China |
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| 期刊信息：《中国骨伤》2006年19卷，第4期，第233-234页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨诱导骨基质植入治疗胫骨平台骨折的临床疗效。
方法:对1998年4月-2004年8月收治的胫骨平台骨折35例,男22例,女13例;年龄22~71岁,平均44.3岁,均行诱导骨基质植入治疗,全部病例术前均行正侧位X线片、CT检查,根据骨折类型和软组织损伤情况制定手术方案,术中采用“L”梯型加压钢板及拉力螺钉内固定。
结果:35例获得6个月~4年,平均（28.6±8.2）个月随访。按Merchant评分标准:优19例,良10例,可4例,差2例。植骨内固定后骨折愈合时间8~15周,平均（11.3±1.6）周,术后骨折复位均满意。X线片显示骨缺损区修复良好,无骨溶解现象。
结论:应用诱导骨基质植入治疗胫骨平台骨折疗效满意,该材料不仅具有一定的生物降解性能、良好的组织相溶性和稳定性,且具有诱导成骨作用。 |
| [关键词]:胫骨平台骨折 骨基质 骨折固定术,内 |
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| Analysis of effects of bone matrix gelatin(BMG)in the treatment of tibial plateau fracture |
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Abstract:
Objective:To analyze the effect of implantation of BMG in the treatment of tibial plateau fracture.
Methods:From April 1998 to August 2004,35 patients (male 22,female 13) with tibial plateau fracture were treated with implantation of BMG and fixation with L-trapaezoid compression plate (L-TCP) and lag screw.The age was 22-71 years with an average of 44.3 years.Anterior and lateral X-ray and CT scan was done before operation.Operative program was defined according to type of fracture and condition of soft tissue.
Results:All the patients were followed up from 6 to 48 months with an average of (28.6±8.2) months.According to criteria of Merchant:19 cases were excellent,10 good,4 fair,2 poor.Bone healing time was 8-15 weeks with an average of (11.3±1.6) weeks.Reduction was satisfactory in all patients.There was no X-ray showed plerosis of bony defect completely and osteolysis.
Conclusion:Implantation of BMG in the treatment of tibial plateau fracture is effective.The material has good stability can induce osteogenesis |
| KEYWORDS:Fracture of tibial plateau Bone matrix gelatin (BMG) Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘永辉,王开友,辛云,曹斌.诱导骨基质植入在治疗胫骨平台骨折中的应用[J].中国骨伤,2006,19(4):233~234 |
| 英文格式: | Liu Yong-hui,Wang Kai-you,Xin Yun,CAO Bin.Analysis of effects of bone matrix gelatin(BMG)in the treatment of tibial plateau fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(4):233~234 |
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