Zhang Gong-Lin, Ge Bao-Feng
Institute of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China.
Zhongguo Gu Shang. 2012 Mar;25(3):205-7.
Nonunion of the tibia fracture may be caused by local infection, soft tissue defect,bone defect,fracture malaignment,bone marrow cavity block and degree of injury and so on. For less complications, central bone grafting is better than other methods for the treatment of selected nonunions of the tibia fracture. This procedure is performed through lateral approach, anterior to the fibula. Fresh autogenous bone from the iliac crest is used to form a central bridge between the tibia and fibula and the nonunion of the tibia at top and below. Application of internal fixation is beneficial to correct deformity and promote fracture healing. Central bone grafting is a safe and effective treatment for nonunions of the tibia.
胫骨骨折不愈合可能由局部感染、软组织缺损、骨缺损、骨折对线不良、骨髓腔阻塞以及损伤程度等因素引起。对于并发症较少的情况,在治疗选定的胫骨骨折不愈合时,髓内植骨比其他方法更好。该手术通过外侧入路,在腓骨前方进行。取自髂嵴的新鲜自体骨用于在胫骨和腓骨之间以及胫骨上下的骨折不愈合处形成一个中央桥接。应用内固定有利于纠正畸形并促进骨折愈合。髓内植骨是治疗胫骨骨折不愈合的一种安全有效的方法。