TY - JOUR A2 - Kohzuki, Masahiro AU - Niikura, Takahiro AU - Lee, Sang Yang AU - Sakai, Yoshitada AU - Nishida, Kotaro AU - Kuroda, Ryosuke AU - kuroaka，Masahiro PY - 2012 DA - 2012/12/25 TI -电磁辐射的锁骨骨折不愈合采用锁板固定和自体骨移植SP - 407349六世- 2012 AB -我们描述的电磁辐射锁骨骨折不愈合,由锁定钢板内固定术治疗和自体骨移植。患者为67岁男性，接受70 Gy放疗治疗鼻咽癌。八年后，他的右锁骨病理性骨折。骨折一年后，由于持续疼痛和虚弱，我们进行了手术治疗。x线片显示萎缩性骨不连。骨扫描显示骨折骨两端有热吸收。MRI显示假关节形成并积液，提示骨折碎片两端骨髓水肿。在手术中，纤维性假关节组织被切除，骨折碎片的两端被刷新以识别出血。切开复位，7孔锁定钢板内固定，自体植骨。 Successful bony union was obtained 1 year postoperatively, and no adverse events were observed up to 52 months after the operation. Our case suggests that a locking plate provides sufficient fixation and autologous bone grafting is effective in enhancing bone healing in a radiation-associated fracture nonunion of the clavicle in which it is difficult to achieve bony union. SN - 1687-9627 UR - https://doi.org/10.1155/2012/407349 DO - 10.1155/2012/407349 JF - Case Reports in Medicine PB - Hindawi Publishing Corporation KW - ER -