Meister K, Segal D, Whitelaw G P
Department of Orthopaedics, Boston University Medical Center, Massachusetts.
Orthop Rev. 1990 Mar;19(3):260-71.
From 1972 to 1984, 53 delayed unions or non-unions of the tibia were successfully treated by either posterolateral or local bone grafting techniques. There were 40 initially open fractures, 19 of which became infected nonunions. The average time from injury to surgery was 10.9 months. Clinical union was achieved in 5.6 months in the posterolateral bone graft group and in 5.4 months in the local bone graft group. There were no refractures or amputations and only one patient continued to drain following bony union. The combination of these surgical techniques allows for an approach to bone grafting of the entire tibia and remains the most effective and reliable form of treatment of the tibial delayed union or nonunion.
1972年至1984年期间，采用后外侧或局部植骨技术成功治疗了53例胫骨延迟愈合或不愈合病例。最初有40例开放性骨折，其中19例发展为感染性骨不连。从受伤到手术的平均时间为10.9个月。后外侧植骨组在5.6个月时实现临床愈合，局部植骨组在5.4个月时实现临床愈合。未发生再骨折或截肢情况，仅有1例患者在骨愈合后仍有引流。这些手术技术的联合应用为整个胫骨的植骨提供了一种方法，仍然是治疗胫骨延迟愈合或不愈合最有效、最可靠的治疗方式。
