Choi Y S, Kim K S
Department of Orthopedic Surgery, Kwangju Christian Hospital, 264 Yangrim-dong, Namgu, Gwangju, South Korea, 503-715.
Int Orthop. 2005 Oct;29(5):287-90. doi: 10.1007/s00264-005-0668-0. Epub 2005 Aug 31.
We reviewed 15 patients with femoral non-union after interlocking intramedullary nailing treated with plate augmentation and bone grafting with the nail in situ. The mean time from primary nailing to plate augmentation and bone grafting was 10 months. At the time of presentation, the patients had undergone an average of 1.6 operations from the time of their original injury. To achieve stability of the fracture, we applied an AO plate on the lateral aspect of the femur. The retained nail maintained alignment of the fracture, and plating did not require an extensive surgical approach. In all patients, there was visible motion at the fracture site; however, the motion disappeared after plate augmentation. All patients achieved radiological solid union at an average of 7.2 months.
我们回顾了15例交锁髓内钉固定后出现股骨骨不连的患者，采用钢板增强并原位保留髓内钉植骨治疗。从初次髓内钉固定到钢板增强及植骨的平均时间为10个月。就诊时，患者自原始损伤后平均接受了1.6次手术。为实现骨折稳定，我们在股骨外侧应用了AO钢板。保留的髓内钉维持骨折对线，且钢板固定无需广泛的手术入路。所有患者在骨折部位均可见活动；然而，钢板增强后活动消失。所有患者平均在7.2个月时实现影像学坚固愈合。
