Venkateswarlu B S S, Manikumar C J
Professor, Chief, Department of Orthopaedics, Rangaraya Medical College, Government General Hospital , Kakinada, Andhra Pradesh, India .
Assistant Professor, Department of Orthopaedics, Rangaraya Medical College, Government General Hospital , Kakinada, Andhra Pradesh, India .
J Clin Diagn Res. 2015 Feb;9(2):RD01-2. doi: 10.7860/JCDR/2015/10806.5528. Epub 2015 Feb 1.
Management of atrophic non union of forearm bones is a challenging task. Various methods of treatment available in the literature are cortical tibial graft (Boyd), ulnar segment graft (Miller and Phalen), iliac crest graft (Spira), cancellous insert graft (Nicoll), vascularized fibular graft (Jupiter), and bone transport by ring fixator (Tesworth). We here report a case of infected non union of radius managed with modified Nicoll's method. Here, intra medullary nailing is preferred over plating which was originally described by Nicoll. At two years follow up, the patient is symptom free and is able to carry out his daily activities with ease.
前臂骨萎缩性骨不连的治疗是一项具有挑战性的任务。文献中可用的各种治疗方法包括皮质胫骨移植（博伊德法）、尺骨段移植（米勒和法伦法）、髂嵴移植（斯皮拉法）、松质骨植入移植（尼科尔法）、带血管腓骨移植（朱庇特法）以及环形固定器骨搬运（特斯沃思法）。我们在此报告一例采用改良尼科尔法治疗的桡骨感染性骨不连病例。在此，髓内钉固定优于尼科尔最初描述的钢板固定。随访两年时，患者无症状，能够轻松进行日常活动。
