Freeze-dried Bone Allograft for Multiple Ribs Fractures_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 何弢 , 刘青 , 马静 , 何建书 , 王波

成都市第五人民医院心胸外科（成都 611130）;

Corresponding author：

何弢, Email: ht162@sina.com

Keywords：

肋骨骨折; 连枷胸; 同种异体骨; 骨折内固定术

DOI：

10.7507/1007-4848.20160223

Video：

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目的探讨同种异体骨对多发性肋骨骨折内固定的治疗疗效。方法回顾性分析我院2011年1月至2013年9月多发性肋骨骨折40例患者的临床资料，其中男33例、女7例，年龄23～67岁。结果全组无1例死亡，手术时间为55～120 min，出血量30～120 ml，骨折矫形效果满意，浮动胸壁控制良好，反常呼吸消失，胸廓塑形满意，活动后疼痛减轻。随访3～24个月，内固定材料无明显移位、无折断，无明显急性或慢性排异反应，无骨折不愈合或延迟愈合，近远期无严重并发症发生。结论用同种异体冻干骨对多发性肋骨骨折进行内固定治疗安全、有效。

Citation： 何弢, 刘青, 马静, 何建书, 王波. Freeze-dried Bone Allograft for Multiple Ribs Fractures. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 934-936. doi: 10.7507/1007-4848.20160223 Copy

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2.	Lafferty PM, Anavian J, Will RE, et al. Operative treatment of chest wall injuries:indications, technique, outcome. JBJS, 2011, 93:97-110.
3.	Girsowicz E, Falcoz PE, Santelmo N, et al. Does surgical stabilization improve outcomes in patients with isolated multiple distracted and painful non-flail rib fractures? Interact Cardiovasc Thorac Surg, 2012, 14(3):312-315.
4.	朱良, 艾合麦提江·玉素甫, 王振斌, 等.同种异体骨移植的研究进展.国外医学移植与血液净化分册, 2005, 3(3):19-23.
5.	蒲强, 马林, 刘成武, 等.芦山地震所致胸部外伤17例临床分析.中国胸心血管外科临床杂志, 2013, 20 (5):515-517.
6.	Granetzny A, Abd El-Aal M, Emam E, et al. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg, 2005, 4(6):583-587.
7.	王长涛, 王盛章, 王伟中, 等.四爪接骨板内固定治疗多发性肋骨骨折和连枷胸的有限元建模和临床分析.中国胸心血管外科临床杂志, 2013, 20(5):551-554.
8.	王洪斌, 张明, 刘海林, 等.微创小切口肋骨内固定术治疗多根多处肋骨骨折及连枷胸.中国胸心血管外科临床杂志, 2012, 19(4):449-450.
9.	焦昌结, 易云峰, 陈亮, 等.记忆合金肋骨环抱器治疗多发性肋骨骨折的临床分析.中国胸心血管外科临床杂志, 2012, 19(1):106-107.
10.	张贝利, 张伟滨, 邓廉夫.同种异体骨移植研究进展.国外医学·骨科学分册, 2005, 26(3):164-167.
11.	邱贵兴, 孙世荃.同种异体骨植入材料的临床应用.中华骨科杂志, 2004, 24(10):635-637.
12.	王波, 刘青, 何弢, 等.同种异体冻干骨内固定治疗多发肋骨骨折28例.山东医药, 2013, 53(43):104.
13.	刘天礽, 曾元临, 钟招明.同种异体骨移植的研究进展.中华创伤杂志, 2003, 19(8):507-509.
14.	Yoshida Y, Osaka S, Mankin HJ. Hemipelvic allograft reconstruction after periacetabular bone tumor resection. J Orthop Sci, 2000, 5(3):198-204.
15.	Muscolo DL, Ayerza MA, Aponte-Tinao L, et al. Allograft reconstruction after sarcoma resection in children younger than 10 years old. Clin Orthop Relat Res, 2008, 466(8):1856-1862.

1. McKee M, Dehghan N, Nauth A, et al. Operative versus nonoperative treatment of acute unstable chest wall injuries:A multi-centered randomized controlled trial. J Shoulder Elbow Surg, 2013, 22(4):e42.
2. Lafferty PM, Anavian J, Will RE, et al. Operative treatment of chest wall injuries:indications, technique, outcome. JBJS, 2011, 93:97-110.
3. Girsowicz E, Falcoz PE, Santelmo N, et al. Does surgical stabilization improve outcomes in patients with isolated multiple distracted and painful non-flail rib fractures? Interact Cardiovasc Thorac Surg, 2012, 14(3):312-315.
4. 朱良, 艾合麦提江·玉素甫, 王振斌, 等.同种异体骨移植的研究进展.国外医学移植与血液净化分册, 2005, 3(3):19-23.
5. 蒲强, 马林, 刘成武, 等.芦山地震所致胸部外伤17例临床分析.中国胸心血管外科临床杂志, 2013, 20 (5):515-517.
6. Granetzny A, Abd El-Aal M, Emam E, et al. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg, 2005, 4(6):583-587.
7. 王长涛, 王盛章, 王伟中, 等.四爪接骨板内固定治疗多发性肋骨骨折和连枷胸的有限元建模和临床分析.中国胸心血管外科临床杂志, 2013, 20(5):551-554.
8. 王洪斌, 张明, 刘海林, 等.微创小切口肋骨内固定术治疗多根多处肋骨骨折及连枷胸.中国胸心血管外科临床杂志, 2012, 19(4):449-450.
9. 焦昌结, 易云峰, 陈亮, 等.记忆合金肋骨环抱器治疗多发性肋骨骨折的临床分析.中国胸心血管外科临床杂志, 2012, 19(1):106-107.
10. 张贝利, 张伟滨, 邓廉夫.同种异体骨移植研究进展.国外医学·骨科学分册, 2005, 26(3):164-167.
11. 邱贵兴, 孙世荃.同种异体骨植入材料的临床应用.中华骨科杂志, 2004, 24(10):635-637.
12. 王波, 刘青, 何弢, 等.同种异体冻干骨内固定治疗多发肋骨骨折28例.山东医药, 2013, 53(43):104.
13. 刘天礽, 曾元临, 钟招明.同种异体骨移植的研究进展.中华创伤杂志, 2003, 19(8):507-509.
14. Yoshida Y, Osaka S, Mankin HJ. Hemipelvic allograft reconstruction after periacetabular bone tumor resection. J Orthop Sci, 2000, 5(3):198-204.
15. Muscolo DL, Ayerza MA, Aponte-Tinao L, et al. Allograft reconstruction after sarcoma resection in children younger than 10 years old. Clin Orthop Relat Res, 2008, 466(8):1856-1862.

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Freeze-dried Bone Allograft for Multiple Ribs Fractures

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