目的:探讨治疗四肢长管骨骨折不愈合的手术改进方法和疗效。方法本研究病例来自山东中医药大学附属医院骨科病房，选取2009年5月至2010年12月间四肢长管骨骨折不愈合患者2()例，均采用手术治疗，取自体骼骨植骨，行钢丝环扎多方位植骨配合LCP重新内固定，男14例，女6例。其中肱骨干不愈合5例，股骨干8例，胫骨干7例。结果：20例均获得随访，随访时间3〜12个月，按照骨愈合和功能恢复双重评价口拟诊断标准，治疗骨不连骨愈合率100%,优良率95%,功能恢复优良率96.5%,骨折平均愈合时间4~6个月，X线片显示植骨融合良好，无高度及复位丢失，功能恢复较好。结论:钢丝环扎多方位植骨配合LCP(加圧锁定钢板)重新内固定是治疗四肢长管骨骨折不愈合的一种有效方法，疗效确切。关键词多方位植骨;四肢长管骨不愈合;骨不连:治疗Wireringswithbonegraftplungeall-sideslimbsinternalfixationforLCPlongtubebonefracturehealingSpeciality:OrthopaedicsofTCMAuthor:LiNingTutor:Prof.WangAbstractObjective:Exploretherapylimbslongbonefracturenonunionofsurgeryimprovementmelhodsandresults.Methods:ThisstudycasesfromshandonguniversityoftraditionalChinesemedicinehospitalorthopedicward,theselectionof2009MaytoDecember2010betweenlimbslongbonefracturenonunionpatients20cases,allusesurgicaltreatment,toautogenousiliacgrafts,linewirelooppiercedcomprehensivebonegraftfixationwithLCPafresh,male,female14casesin6cases.Onehumerusbackbonenonunionin5cases,femurin6cases,tibialdry9cases.Results:2()caseswerefolloweduptimeget3〜12months,accordingtothebonehealingandfunctionalrecoverydoubleevaluationdiagnosticcriteria,treatmentsincefittingboneisnotevenbonehealingrate100%,dykes95%,functionalrecovery96.5%,fracturedykesaveragehealingtime4〜6months,X-rayshowedgood,nobonegraftfusionaltitudeandresetlost,functionrecoveredwell.Conclusion:Wireringswithbonegraftplungeall-sidespressurizedlockingplate(LCP)andinternalfixationisthetreatmentofbonefractureslimbslongtubedoi^theal,aneffectivemethodofdefiniteeffect.KeywordsMany-sidegraftsLimbslongtubebonehealingBoneisnotevenTreatment引言.........................................................................1资料与方法....................................................................2一、临床资料.................................................................2（一）....................................................................病例2（二）................................................................采集时间2（三）..............................................................病例选择：2（四）..........................................................观察组一般资料3二、手术方法.................................................................3（一）................................................................术前准备3（―）手术方法...............................................................3三、疗效评价..................................................................6（-）骨愈合评价标准..........................................................7（二）............................................................功能评价标准7四、研究结果..................................................................7（一）..............................................................骨愈合评价8（二）............................................................上肢功能评价8（三）............................................................下肢功能评价8（四）......................................................术前感染情况与预后9讨论.....................................
