胫骨远端骨不连治疗中遇到的软组织和生物力学挑战。
Soft tissue and biomechanical challenges encountered with the management of distal tibia nonunions.
作者信息
Tarkin Ivan S, Siska Peter A, Zelle Boris A
机构信息
Department of Orthopedic Surgery, Division of Traumatology, University of Pittsburgh, 3471 Fifth Avenue, Suite 911, Pittsburgh, PA 15213, USA.
出版信息
Orthop Clin North Am. 2010 Jan;41(1):119-26; table of contents. doi: 10.1016/j.ocl.2009.07.009.
A thoughtful treatment algorithm is required to optimally treat distal tibia nonunion. A healthy respect for the tenuous soft tissue envelope, compromised vascularity, and challenging mechanical environment is advisable. Achieving osseous union and improved functionality requires an individualized plan of care based on the personality of the nonunion and host. Attention must be focused on providing mechanical stability at the site of nonunion and providing biologic supplementation.
需要一种周全的治疗方案来最佳地治疗胫骨远端骨不连。明智的做法是充分考虑脆弱的软组织包膜、受损的血运以及具有挑战性的力学环境。实现骨愈合和改善功能需要根据骨不连和宿主的特点制定个体化的护理计划。必须将注意力集中在为骨不连部位提供机械稳定性以及提供生物补充。
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