鈦網包裹自體松質骨打壓植骨修復橈骨節段缺損一例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

殷渠東 , 顧三軍 , 吳永偉 , 陸堯

Corresponding?author：

Keywords：

橈骨骨折; 節段骨缺損; 打壓植骨; 鈦網

DOI：

10.7507/1002-1892.20130055

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目的介紹一種新的利用鈦網包裹自體松質骨打壓植骨修復橈骨節段缺損方法。方法2011年10月，收治1例53歲機器擊傷致左橈骨中下段開放粉碎性骨折合并5.4 cm橈骨缺損患者，待傷口愈合和局部皮膚條件改善后，二期采用切開復位鋼板內固定和鈦網包裹自體髂骨松質骨打壓植骨修復橈骨節段骨缺損。結果術后4個月見斷端連續性骨痂連接、初步植骨融合表現，局部無壓、叩痛，腕關節功能輕度受限，達臨床愈合標準；術后6個月斷端植骨融合更清晰，腕關節活動度接近正常，Green-O’Brien腕關節功能臨床評分90分，為良；術后12個月末次隨訪，骨折愈合及腕關節功能臨床評分無變化。結論采用鈦網包裹自體松質骨打壓植骨修復橈骨節段缺損，不僅成骨快、愈合良好，且簡便、安全。

Citation： 殷渠東,顧三軍,吳永偉,陸堯. 鈦網包裹自體松質骨打壓植骨修復橈骨節段缺損一例. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(2): 247-248. doi: 10.7507/1002-1892.20130055 Copy

1.	殷渠東, 芮永軍, 顧三軍, 等. 改良打壓游離植骨治療長段骨缺損一例. 中國修復重建外科雜志, 2012, 26(5): 637-638.
2.	Cobos JA, Lindsey RW, Gugala Z. The cylindrical titanium mesh cage for treatment of a long bone segmental defect: description of a new technique and report of two cases. J Orthop Trauma, 2000, 14(1): 54-59.
3.	Bullens PH, Bart Schreuder HW, de Waal Malefijt MC, et al. Is an impacted morselized graft in a cage an alternative for reconstructing segmental diaphyseal defects? Clin Orthop Relat Res, 2009, 467(3): 783-791.
4.	Bullens PH, Schreuder BH, de Waal Malefijt MC, et al. The stability of impacted morsellized bone grafts in a metal cage under dynamic loaded conditions: an in vitro reconstruction of a segmental diaphyseal bone defect. Arch Orthop Trauma Surg, 2009, 129(5): 575-581.
5.	Bullens PH, Hannink G, Verdonschot N, et al. No effect of dynamic loading on bone graft healing in femoral segmental defect reconstructions in the goat. Injury, 2010, 41(12): 1284-1291.
6.	Attias N, Lindsey RW. Case reports: management of large segmental tibial defects using a cylindrical mesh cage. Clin Orthop Relat Res, 2006, (450): 259-266.

1. 殷渠東, 芮永軍, 顧三軍, 等. 改良打壓游離植骨治療長段骨缺損一例. 中國修復重建外科雜志, 2012, 26(5): 637-638.
2. Cobos JA, Lindsey RW, Gugala Z. The cylindrical titanium mesh cage for treatment of a long bone segmental defect: description of a new technique and report of two cases. J Orthop Trauma, 2000, 14(1): 54-59.
3. Bullens PH, Bart Schreuder HW, de Waal Malefijt MC, et al. Is an impacted morselized graft in a cage an alternative for reconstructing segmental diaphyseal defects? Clin Orthop Relat Res, 2009, 467(3): 783-791.
4. Bullens PH, Schreuder BH, de Waal Malefijt MC, et al. The stability of impacted morsellized bone grafts in a metal cage under dynamic loaded conditions: an in vitro reconstruction of a segmental diaphyseal bone defect. Arch Orthop Trauma Surg, 2009, 129(5): 575-581.
5. Bullens PH, Hannink G, Verdonschot N, et al. No effect of dynamic loading on bone graft healing in femoral segmental defect reconstructions in the goat. Injury, 2010, 41(12): 1284-1291.
6. Attias N, Lindsey RW. Case reports: management of large segmental tibial defects using a cylindrical mesh cage. Clin Orthop Relat Res, 2006, (450): 259-266.

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Chinese Journal of Reparative and Reconstructive Surgery

鈦網包裹自體松質骨打壓植骨修復橈骨節段缺損一例

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