[骨折不愈合的并发症处理：假关节]

[Complication management for failed bone fracture healing: pseudarthrosis].

作者信息

Grechenig S, Pfeifer C, Krutsch W, Hilber F, Nerlich M, Berner A

机构信息

Klinik und Poliklinik für Unfallchirurgie, Klinikum der Universität Regensburg, Franz-Josef-Strauss Allee 11, 93042, Regensburg, Deutschland.

出版信息

Chirurg. 2015 Oct;86(10):919-24. doi: 10.1007/s00104-015-0050-8.

DOI:10.1007/s00104-015-0050-8

PMID:26201543

Abstract

Delayed fracture healing for more than 6-8 months is defined as non-union (pseudarthrosis). Non-unions are classifiable as septic, aseptic, hypertrophic and atrophic non-unions. In case of septic non-unions the infection is treated primarily followed by treatment of the delayed fracture healing. Aseptic non-unions may be treated non-operatively (e.g. shock wave therapy and/or ultrasound) or by various surgical strategies to stimulate bone regeneration and healing.

摘要

超过6 - 8个月的延迟骨折愈合被定义为骨不连（假关节）。骨不连可分为感染性、无菌性、肥大性和萎缩性骨不连。对于感染性骨不连，首先治疗感染，随后治疗延迟骨折愈合。无菌性骨不连可采用非手术治疗（如冲击波疗法和/或超声治疗）或通过各种手术策略来刺激骨再生和愈合。