叶斌

【摘要】 目的：探究四肢創伤骨折骨不连分别实施锁定加压钢板结合植骨和有限接触动力加压钢板结合植骨的效果。方法：选取笔者所在医院四肢创伤骨折骨不连60例患者为研究样本，选取时间为2016年1月-2019年1月。采用随机数字表法将其分为常规组和试验组，各30例。常规组予以锁定加压钢板结合植骨治疗，试验组予以有限接触动力加压钢板结合植骨治疗。比较两组手术时间、术中出血量、手术切口长度、骨折愈合时间、手术前后胰岛素样生长因子-1及成纤维细胞生长因子-2水平及并发症发生情况。结果：两组手术时间、术中出血量、手术切口长度及骨折愈合时间比较差异均无统计学意义（P>0.05）。术后4周，两组胰岛素样生长因子-1及成纤维细胞生长因子-2水平与本组术前比较差异均有统计学意义（P<0.05）。但两组组间术前及术后4周胰岛素样生长因子-1及成纤维细胞生长因子-2水平比较差异均无统计学意义（P>0.05）。常规组术后并发症发生率为30.00%，高于试验组的10.00%，差异有统计学意义（P<0.05）。结论：四肢创伤骨折骨不连患者采用有限接触动力加压钢板和锁定加压钢板结合植骨治疗均有明显效果，但有限接触动力加压钢板治疗并发症较少。

【关键词】 四肢 骨不连 创伤 植骨 锁定加压钢板 有限接触动力加压钢板

doi：10.14033/j.cnki.cfmr.2020.21.054 文献标识码 B 文章编号 1674-6805（2020）21-0-03

Analysis of the Effect of Limited Contact Dynamic Compression Plate and Locking Compression Plate Combined with Bone Graft in the Treatment of Limb Traumatic Fracture Nonunion/YE Bin. //Chinese and Foreign Medical Research， 2020， 18（21）： -133

[Abstract] Objective： To investigate the effect of locking compression plate combined with bone graft and limited contact dynamic compression plate combined with bone graft in the treatment of limb traumatic fracture nonunion. Method： A total of 60 patients with limb traumatic fracture nonunion in our hospital were selected as the study sample from January 2016 to January 2019. They were divide into the conventional group and the experimental group according to the random number table method， with 30 cases in each group. The conventional group was treated with locking compression plate combined with bone graft， and the experimental group was treated with limited contact dynamic compression plate combined with bone graft. The operative time， intraoperative blood loss， operative incision length， fracture healing time， the levels of insulin-like growth factor-1 and fibroblast growth factor-2 before and after operation， and the incidence of complications were compared between the two groups. Result： There were no significant differences between the two groups in operative time， intraoperative blood loss， operative incision length and fracture healing time （P>0.05）. Four weeks after the operation， the levels of insulin-like growth factor-1 and fibroblast growth factor-2 in the two groups were significantly different from those before the operation （P<0.05）. However， there were no significant differences in the levels of insulin-like growth factor-1 and fibroblast growth factor-2 between the two groups before and 4 weeks after operation （P>0.05）. The incidence of postoperative complications in the conventional group was 30.00%， which was higher than 10.00% in the experimental group， the difference was statistically significant （P<0.05）. Conclusion： Limited contact dynamic compression plate and locking compression plate combined with bone graft have obvious effect in the treatment of limb traumatic fracture nonunion， but the complications of limited contact dynamic compression plate treatment are less.

[Key words] Limbs Nonunion Traumatic Bone graft Locking compression plate Limited contact dynamic compression plate

First-authors address： Chongyang County Hospital of Traditional Chinese Medicine， Chongyang 437500， China

四肢骨折在临床骨折疾病中较为常见，目前临床对于四肢骨折通常采用内固定或外固定方式进行治疗，从而促进骨折断端愈合，使患者四肢运动功能恢复正常[1]。但随着临床研究的不断深入，有学者发现部分四肢骨折患者实施固定治疗后会发生骨不连情况，并且对于内固定患者而言，还会出现固定物断裂，进而阻碍其骨折愈合，给患者造成二次伤害，增加其疼痛感及家庭经济压力[2-3]。所以，本文对四肢创伤骨折骨不连患者分别进行锁定加压钢板结合植骨治疗及有限接触动力加压钢板结合植骨治疗，观察其治疗效果，现报道如下。