钛网包裹自体松质骨打压植骨修复桡骨节段缺损一例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

殷渠东 , 顾三军 , 吴永伟 , 陆尧

Corresponding author：

Keywords：

桡骨骨折; 节段骨缺损; 打压植骨; 钛网

DOI：

10.7507/1002-1892.20130055

Video：

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目的介绍一种新的利用钛网包裹自体松质骨打压植骨修复桡骨节段缺损方法。方法2011年10月，收治1例53岁机器击伤致左桡骨中下段开放粉碎性骨折合并5.4 cm桡骨缺损患者，待伤口愈合和局部皮肤条件改善后，二期采用切开复位钢板内固定和钛网包裹自体髂骨松质骨打压植骨修复桡骨节段骨缺损。结果术后4个月见断端连续性骨痂连接、初步植骨融合表现，局部无压、叩痛，腕关节功能轻度受限，达临床愈合标准；术后6个月断端植骨融合更清晰，腕关节活动度接近正常，Green-O’Brien腕关节功能临床评分90分，为良；术后12个月末次随访，骨折愈合及腕关节功能临床评分无变化。结论采用钛网包裹自体松质骨打压植骨修复桡骨节段缺损，不仅成骨快、愈合良好，且简便、安全。

Citation： 殷渠东,顾三军,吴永伟,陆尧. 钛网包裹自体松质骨打压植骨修复桡骨节段缺损一例. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(2): 247-248. doi: 10.7507/1002-1892.20130055 Copy

1.	殷渠东, 芮永军, 顾三军, 等. 改良打压游离植骨治疗长段骨缺损一例. 中国修复重建外科杂志, 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. 殷渠东, 芮永军, 顾三军, 等. 改良打压游离植骨治疗长段骨缺损一例. 中国修复重建外科杂志, 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

钛网包裹自体松质骨打压植骨修复桡骨节段缺损一例

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