Efficacy Analysis Of LCP Combined With Autogenous Bone Graft In The Treatment Of Nonunion Of Fracture

Objective: Through the analysis of various types of bone nonunion of reason and treatment by mosaic LCP combined with autologous iliac bone graft of bone fracture healing, and observe the symptoms after surgery, to evaluate its efficacy, and to provide a basis for clinical.Methods:(Shandong Province Hospital of traditional Chinese Medicine) the group selected 38 cases of bone nonunion were derived from 2013 March to August 2015 period Shandong traditional Chinese Medicine University Affiliated Hospital orthopedic ward, of which 10 cases of female patients, 28 cases of male patients, age range: 8-66 years old, mean age 45.45±14.65 years old. Fracture nonunion type: fat large(non ischemic) nonunion, 15 cases; the other is atrophy type(ischemic) does not heal, 23 cases. The primary implant: plate fixation in 22 cases, intramedullary nail fixation in 15 cases, 1 cases were treated with external fixator. Injury types: open 9 cases. Closed 29 cases. Injuries caused by traffic accident in 18, 14, 5, falls by falling in 1. Adopt surgical treatment, treatment method is: to replace the original fixtures, clean up the broken end of the fracture, broken end grooving, autogenous iliac bone inlay graft, LCP re fixed. After the treatment according to the clinical fracture bone healing, pain evaluation, limb function evaluation index.Results: 38 cases were followed up, the follow-up time ranged from 6-17 months, average 10.50 ± 3.28 months. All fractures healed with an average of 13.03±1.95 weeks, and the healing time was 10-17 weeks. The fracture healing rate was 100%. Postoperative upper and lower limb function recovery rate was 100% and 96.78%. 1 cases of patients with upper limb nonunion after fatigue there is slight pain, after the break to ease the obvious, the normal work, life is less. 4 cases of patients with mild pain in the lower limb or functional activity is limited, does not affect the normal life. 1 cases of patients because of poor compliance, unwilling to cooperate with the guidance of a doctor to undertake the function takes exercise, knee joint pain and stiffness and have functional limit to a certain extent, claudication. The rest of the patients were satisfied with functional recovery.Conclusion: Fhe effect of LCP combined with iliac bone graft in the treatment of nonunion is very significant, which can provide technical support for the future clinical treatment.