[1]王石林 钟文龙 郭再冉 陈江非 王新卫△.体外冲击波治疗骨搬移术后对接端不愈合17例[J].中国中医骨伤科杂志,2022,30(02):61-65.
　WANG Shilin ZHONG Wenlong GUO Zairan CHEN Jiangfei WANG Xinwei.17 Cases of Nonunion of the Butt End after Bone Transfer Treated by Extracorporeal Shock Wave[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(02):61-65.
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体外冲击波治疗骨搬移术后对接端不愈合17例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年02期
页码:
61-65
栏目:
临床报道
出版日期:
2022-02-15

文章信息/Info

Title:
17 Cases of Nonunion of the Butt End after Bone Transfer Treated by Extracorporeal Shock Wave
文章编号:
1005-0205(2022)02-0061-05
作者:
王石林1 钟文龙2 郭再冉2 陈江非2 王新卫2△
1河南中医药大学洛阳平乐正骨学院(河南 洛阳,471002)2河南省洛阳正骨医院(河南省骨科医院)
Author(s):
WANG Shilin1 ZHONG Wenlong2 GUO Zairan2 CHEN Jiangfei2 WANG Xinwei2△
1Luoyang Pingle Orthopedic College,Henan University of Traditional Chinese Medicine,Luoyang 471002,Henan China; 2Henan Luoyang Orthopedic Hospital,Luoyang 471002,Henan China.
关键词:
冲击波;  骨搬移术;  对接端不愈合;  延迟愈合
Keywords:
extracorporeal shock wave;  bone transported surgery;  refractured healing;  bone delayed union
分类号:
R681.8
文献标志码:
B
摘要:
目的:探讨体外冲击波(Extracorporeal Shock Wave,ESW)治疗骨搬移术后对接端不愈合的临床疗效。方法:回顾性分析2018年8月至2019年9月采用体外冲击波治疗骨搬移术后对接端不愈合患者17例,男13例,女4例; 年龄23～65岁,平均(40.06±12.28)岁; 交通伤11例,高处坠落伤5例,压砸伤1例; 开放性骨折13例,闭合性骨折4例; 骨缺损长度为5～10 cm,平均缺损长度为(7.55±1.80)cm。不愈合时间3～6个月,平均(3.48±1.57)个月。记录患者外固定佩戴时间、冲击波治疗后骨痂形成时间及骨愈合时间。末次随访时采用ASAMI骨与肢体功能评分和Paley功能评价对优良率进行评价。结果:本组患者均获随访,随访时间为14～23个月,平均为(18.11±1.99)个月。外固定佩戴时间为11～18个月,平均为(14.29±1.57)个月。骨痂形成时间为14～21 d,平均为(16.31±1.64)d。骨愈合时间为9～16个月,平均为(12.46±1.58)个月。1例患者愈合后再次骨折,行自体髂骨植骨后痊愈; 其余均骨愈合,无再次骨折。ASAMI骨愈合结果:优12例,良3例,可1例,差1例,优良率为88%。ASAMI功能结果:优13例,良2例,可1例,差1例,优良率为88%。Paley功能评价:优12例,良3例,可1例,差1例,优良率为88%。结论:体外冲击波治疗骨搬移术后对接端不愈合,疗效确切,安全性高,值得临床推广应用。
Abstract:
To investigate the clinical efficacy of extracorporeal shock wave(ESW)on the treatment of nonunion of the butt end after bone transfer. Methods:17 patients with nonunion of the butt end after bone transfer treated by extracorporeal shock wave from August 2018 to September 2019 were retrospectively analyzed. There were 13 male and 4 female, aged from 23 to 65 years old, with an average of(40.06±12.28)years old. There were 11 traffic injuries, 5 falling injuries and 1 crushing injuries. There were 13 open fractures and 4 closed fractures. The length of the bone defect was 5 to 10 cm, with an average length of(7.55±1.80)cm. The nonunion time was 3 to 6 months, with an average of(3.48±1.57)months. Patients with external fixation time wearing, callus formation time after shock wave treatment, bone healing time were recorded. The ASAMI bones and body function score and Paley function assessment were used to evaluate excellent rate at the time of the last follow-up. Results:All patients were followed up for 14 to 23 months, with an average of(18.11±1.99)months. The wearing time of external fixation was 11 to 18 months, with an average of(14.29±1.57)months. Callus formation time was 14 to 21 d, with an average of(16.31±1.64)d. Bone union time ranged from 9 to 16 months, with an average of(12.46±1.58)months. 1 patient recovered from the second fracture after healing by autogenous iliac bone grafting, and the rest were bone healing without the second fracture. Results of ASAMI bone healing: excellent was 12 cases,good was 3 cases,acceptable was 1 case,poor was 1 case,excellent and good rate was 88%. Results of ASAMI function: excellent was 13 cases,good was 2 cases,acceptable was 1 case,poor was 1 case,excellent and good rate was 88%. Paley functional evaluation: excellent was 12 cases,good was 3 cases,fair was 1 case,poor was 1 case,excellent and good rate was 88%. Conclusion:Extracorporeal shock wave is effective and safe in treating nonunion of the butt end after bone transfer, which is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目:2020年洛阳市医疗卫生计划项目(2040005A)
△通信作者 E-mail:lywwxw188@163.com
更新日期/Last Update: 1900-01-01