腓骨不愈合：系统评价。
Nonunion of fibula: a systematic review.
机构信息
Department of Orthopaedic Surgery, University of Louisville, 550 S Jackson Street, 1st Floor, ACB, Louisville, KY 40202, USA.
出版信息
Int Orthop. 2012 Sep;36(9):1757-65. doi: 10.1007/s00264-012-1556-z. Epub 2012 May 30.
PURPOSE
The purpose of this systematic review was to analyse the available evidence regarding nonunions of the fibula. We focussed on the incidence, risk factors, evaluation, and treatment modalities for fibular nonunions as evident in the current literature and propose a treatment algorithm.
METHODS
This was an Institutional Review Board (IRB) exempt study performed at a level one trauma centre. We systematically reviewed the published evidence on fibular nonunion or delayed union from 1950 to February, 2011.
RESULTS
Twelve articles were included in this systematic review. In summary, nonunion of the fibula is becoming increasingly more common in association with intramedullary nailing of concomitant tibial shaft fractures. A treatment algorithm for nonunion of the fibula has been proposed.
CONCLUSIONS
The suspicion for nonunion of the fibula should be heightened in lower leg fractures if the patient is symptomatic, and the progression of healing is not as expected. Ideally, prospective, multicentre studies would be performed to provide more rigorous data on the incidence, risk factors, and optimum treatment.
目的
本系统回顾的目的在于分析有关腓骨不愈合的现有证据。我们集中关注当前文献中可见的腓骨不愈合的发生率、风险因素、评估和治疗方式，并提出治疗算法。
方法
这是在一级创伤中心进行的机构审查委员会（IRB）豁免研究。我们系统地回顾了自 1950 年至 2011 年 2 月期间发表的关于腓骨不愈合或延迟愈合的文献。
结果
共有 12 篇文章纳入本系统回顾。总的来说，在与髓内钉固定同时发生的胫骨骨干骨折中，腓骨不愈合的情况越来越常见。已经提出了腓骨不愈合的治疗算法。
结论
如果患者有症状且愈合进展不如预期，在小腿骨折中应高度怀疑腓骨不愈合。理想情况下，应进行前瞻性、多中心研究，以提供有关发病率、风险因素和最佳治疗的更严格数据。
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