Alt V, Nawab A, Seligson D
University of Heidelberg, Germany.
J Trauma. 1999 Sep;47(3):555-7. doi: 10.1097/00005373-199909000-00023.
A retrospective study was undertaken to analyze the results of proximal tibial bone grafts with immediate postoperative weight bearing.
Over a 2-year period, 54 patients underwent bone grafting harvested from the proximal tibia. Postoperatively patients were allowed to bear weight as tolerated on the donor site. Mean follow-up was 26.4 weeks, with a range of 6 to 80 weeks. Indications for bone grafting were fresh fractures with primary grafting and nonunions.
The overall complication rate was 1.9%, with one patient suffering a local hematoma. No major complications such as fracture, sensory deficit, or wound infection were observed. Immediate postoperative weight bearing did not have any deleterious effects. Higher complication rates for iliac graft sites have been reported. The amount of bone that can be harvested is usually more than adequate.
Complication rates are low without significant patient morbidity. Most importantly, the patients may start weight bearing immediately after surgery.
进行一项回顾性研究，以分析胫骨近端骨移植术后即刻负重的结果。
在两年期间，54例患者接受了取自胫骨近端的骨移植。术后允许患者在供区耐受的情况下负重。平均随访26.4周，范围为6至80周。骨移植的指征为新鲜骨折的一期植骨和骨不连。
总体并发症发生率为1.9%，1例患者出现局部血肿。未观察到骨折、感觉障碍或伤口感染等严重并发症。术后即刻负重没有任何有害影响。据报道，髂骨移植部位的并发症发生率更高。可采集的骨量通常绰绰有余。
并发症发生率低，患者发病率无显著增加。最重要的是，患者术后可立即开始负重。
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