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大段骨缺损股骨骨折的治疗

Hits: 2048 Download times: 1337 Received:October 24, 2006

作者	Author	单位	Unit	E-Mail
周建明	ZHOU Jian-ming	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China	zhou-jm@163.com
章银灿	ZHANG Yin-can	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China
石高才	SHI Gao-cai	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China
卢焕兴	LU Huan-xing	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China
方伟松	FANG Wei-song	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China
楼才俊	LOU Cai-jun	诸暨市人民医院骨科,浙江诸暨311800	The People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China

期刊信息：《中国骨伤》2007年20卷，第8期，第552-553页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

股骨骨折临床较为常见,伴大段骨缺损时治疗较为棘手,若处理不当,骨不连、短缩畸形等并发症多见,病废率高。自1999年6月-2006年2月,对10例大段骨缺损股骨骨折,采用带血管蒂双折叠组合腓骨移植,结合适当内固定或外固定治疗,取得了满意疗效,现报告如下。1临床资料本组10例,男6例,女4例;年龄19~54岁;均为开放性骨折。致伤原因:车祸伤6例,塌方压伤4例。骨缺损部位:股骨髁上6例,中段4例。骨缺损长度为6~10cm。2手术方法患者入院后,经积极术前准备,急诊行清创缝合术,术后行胫骨结节牵引（5例）或单侧外支架固定（5例）以维持下肢长度及股骨对线,伤口愈合后Ⅱ期行腓骨移植。

[关键词]:股骨骨折骨折,不愈合外科手术

Treatment of large bone defect of femoral fracture

KEYWORDS:Femoral fractures Fractures,ununited Surgical procedures,operative

引用本文，请按以下格式著录参考文献：

中文格式:	周建明,章银灿,石高才,卢焕兴,方伟松,楼才俊.大段骨缺损股骨骨折的治疗[J].中国骨伤,2007,20(8):552~553
英文格式:	ZHOU Jian-ming,ZHANG Yin-can,SHI Gao-cai,LU Huan-xing,FANG Wei-song,LOU Cai-jun.Treatment of large bone defect of femoral fracture[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(8):552~553

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