Duponselle E, Eyskens E, Lacquet A, Gruwez J
Acta Chir Belg. 1976 Jul;75(4):444-56.
The authors analyse the etiology and treatment of 18 pseudarthroses of the tibial diaphysis occurring in a series of 320 fractures of this bone. This complication seldom appears in simple fractures treated by a plaster cast (two cases out of 144). In addition to classical and well known factors, it appears that pseudarthrosis occurs more frequently after traction-immobilization (10 cases out of 73), when the fragments had to be repositioned on many occasions under plaster cast, or in cases of open fractures. The treatment by bone grafting, principally in-lays, with or without plates and visses, yield satisfactory results.
作者分析了在320例胫骨干骨折中出现的18例胫骨干假关节的病因及治疗方法。这种并发症在采用石膏固定治疗的单纯骨折中很少出现(144例中有2例)。除了经典且广为人知的因素外,假关节似乎在牵引固定后更频繁地发生(73例中有10例),此时骨折碎片必须在石膏固定下多次重新复位,或者在开放性骨折的情况下。主要采用骨移植治疗,主要是嵌入植骨,加或不加钢板和螺钉,取得了满意的效果。