带锁髓内钉固定后股骨干骨不连的处理：附加接骨板和植骨。
Management of femoral diaphyseal nonunion after nailing with augmentative locked plating and bone graft.
机构信息
Department of Orthopaedics, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, China.
出版信息
Orthop Surg. 2011 May;3(2):83-7. doi: 10.1111/j.1757-7861.2011.00124.x.
Abstract
OBJECTIVES
Exchange nailing (EN) for aseptic femoral shaft nonunion is currently a standard orthopaedic treatment modality. However, according to recent studies there is occasionally a high failure rate when EN is used. In the present study, augmentative locked plating and bone graft was used as an alternative method for treating such cases. The purpose of this study was to report the treatment outcomes of selected femoral diaphyseal nonunions that had initially been treated by nailing.
METHODS
Thirteen patients with femoral diaphyseal nonunions underwent revision surgery with locked plate and bone graft. The inclusion criteria were: (a) nonisthmic nonunion; (b) atrophic/oligotrophic nonunion. All patients were managed by augmentative locked plating and bone graft.
RESULTS
All patients were followed up for a mean of 1.2 years (range, 1-2 years). After revision surgery all nonunions achieved bony union, the average union time being 7.5 months (range, 6-12 months). No major complications were observed in this case series.
CONCLUSION
Augmentative locked plating is an effective and simple technique for treatment of femoral diaphyseal nonunion after nailing in selected cases.
摘要
目的
交锁髓内钉（EN）治疗无菌股骨干骨不连目前是一种标准的骨科治疗方法。然而，根据最近的研究，EN 的使用偶尔会出现高失败率。在本研究中，增强锁定钢板和植骨被用作治疗此类病例的替代方法。本研究的目的是报告最初通过髓内钉治疗的选定股骨干骨不连的治疗结果。
方法
13 例股骨干骨不连患者接受了锁定钢板和植骨的翻修手术。纳入标准为：（a）非节段性骨不连；（b）萎缩/少营养性骨不连。所有患者均采用增强锁定钢板和植骨治疗。
结果
所有患者平均随访 1.2 年（范围 1-2 年）。翻修手术后所有骨不连均达到骨性愈合，平均愈合时间为 7.5 个月（范围 6-12 个月）。在本病例系列中未观察到主要并发症。
结论
在选定病例中，增强锁定钢板是治疗交锁髓内钉治疗后股骨干骨不连的有效且简单的技术。
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