Simon J P, Stuyck J, Hoogmartens M, Fabry G
Orthopaedic Department, University Hospital, Pellenberg, Belgium.
Acta Orthop Belg. 1992;58(3):308-13.
Sixty-two tibial diaphyseal nonunions in 60 patients were treated with a posterolateral bone graft over an 18-year period (1969-1987). The majority were complicated by severe soft tissue damage or segmental bone loss. Thirty-four had a deep infection. Primary healing was achieved in 92%. Three types of bone grafts have been used: from 1969 to 1978 either a whole iliac bone graft (10 tibiae) or a nonvascularized fibular graft (11 tibiae) was used. Since 1978 small iliac cancellous bone chips (41 remaining tibiae) were applied to the posterior surfaces of tibia and interosseous membrane. In three tibiae with major bone defects, cancellous allografts were added to the autogenous bone. The use of cortico-cancellous bone chips resulted in a shorter healing time, compared to a nonvascularized fibular graft or a massive corticocancellous bone block.
在18年期间（1969 - 1987年），对60例患者的62处胫骨干骨不连采用后外侧植骨进行治疗。大多数患者合并严重软组织损伤或节段性骨缺损。34例存在深部感染。92%实现了一期愈合。使用了三种类型的骨移植材料：1969年至1978年，使用了整块髂骨移植（10例胫骨）或非血管化腓骨移植（11例胫骨）。自1978年以来，小的髂骨松质骨碎片（剩余41例胫骨）被应用于胫骨后表面和骨间膜。在3例存在严重骨缺损的胫骨中，同种异体松质骨被添加到自体骨中。与非血管化腓骨移植或大块皮质松质骨块相比，使用皮质松质骨碎片导致愈合时间更短。
