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目的:探讨锁定加压接骨板治疗股骨远端良性骨肿瘤刮除植骨术后早期病理骨折的临床疗效。方法:选取2013年2月至2014年2月期间在我院住院治疗的股骨远端良性骨肿瘤刮除植骨术后早期病理骨折患者20例,均采取锁定加压接骨板内固定联合植骨术方法进行治疗,对患者的临床治疗效果进行分析。结果:手术后4~6周使用X线进行检查,可见骨折线模糊现象,手术后12周,有9例患者愈合,手术后20周有7例患者愈合,所有患者的愈合情况均达到要求。有18例患者的异体骨愈合情况较优,2例患者部分愈合。20例患者中有2例患者发生浅表伤口感染现象,给予抗生素治疗后得到改善,有2例患者在术后发生腘静脉血栓现象,给予抗凝溶栓治疗后得到改善。所有患者均没有出现其他并发症。结论:锁定加压接骨板治疗股骨远端良性骨肿瘤刮除植骨术后早期病理骨折具有良好的治疗效果,能够降低二次手术对局部骨折端组织的损害,有利于瘤腔植骨的修复和骨折的愈合,值得在临床治疗中应用。
OBJECTIVE: To investigate the clinical efficacy of locking compression bone plate in the treatment of early pathological fractures after scraping and bone grafting of benign distal bone of the femur. METHODS: Twenty patients with early pathological fractures after scraping and bone grafting for benign bone tumors from distal femurs hospitalized in our hospital from February 2013 to February 2014 were selected. All patients were treated with locking compression plate and internal fixation combined with bone grafting. The surgical method is used for treatment and the clinical treatment effect of the patient is analyzed. RESULTS: X-ray examination was performed 4 to 6 weeks after surgery. The fracture line was obscure. At 12 weeks after surgery, 9 patients healed. At the 20th week after surgery, 7 patients healed. The healing of all patients met the requirements. Eighteen patients had better allograft healing and 2 patients partially healed. Superficial wound infections occurred in 2 of the 20 patients and improved after antibiotic treatment. Two patients developed postoperative venous thrombosis and improved after anticoagulation and thrombolytic therapy. No other complications occurred in all patients. Conclusion: Locking compression bone plate has a good therapeutic effect in the treatment of early pathological fractures after scraping and bone grafting of benign distal bone of the femur. It can reduce the damage of local fracture end tissue after secondary surgery and is beneficial to the repair of tumor cavity bone graft. The healing of fractures is worthy of clinical application.