Cuypers L, Van Dooren J, Rombouts S, Van den Berghe D
St. Camillusziekenhuis, Antwerpen, Belgium.
Acta Orthop Belg. 1992;58 Suppl 1:192-3.
Despite modern treatments of tibial fractures, we still have nonunions. In case of failure we used a method of treatment which has become less popular over the last decades. A rectangular inlay graft is harvested from the anteromedial tibial surface. The graft, measuring about 12 to 15 cm long, is placed over the nonunion with 2/3 of its length on one side and the remaining third on the other side. The graft is turned 180 degrees and fixed with four lag screws in the original donor site. Postoperatively, we place a nonweight-bearing cast for 3 months. The results are quite satisfactory for both nonunions and difficult multi-operated nonunions.
尽管有现代的胫骨骨折治疗方法，但我们仍会遇到骨不连的情况。在治疗失败的情况下，我们采用了一种在过去几十年中已不太常用的治疗方法。从胫骨前内侧表面获取一块长方形嵌合体骨块。该骨块长约12至15厘米，将其放置在骨不连部位，其长度的三分之二位于一侧，其余三分之一位于另一侧。将骨块旋转180度，并在原来的供骨部位用四颗拉力螺钉固定。术后，我们使用非负重石膏固定3个月。对于骨不连和多次手术困难的骨不连，结果都相当令人满意。
