Afaunov A I
Ortop Travmatol Protez. 1989 Feb(2):16-20.
The author has used an improved two-stage method of autoplasty in 27 patients mainly with posttraumatic bone defects of the forearm in the conditions of latent infection. Preliminary longitudinal distraction of the fragments allowed to reconstruct distal radioulnar syndesmosis and simultaneous transversal traction of the fragments extended the interosseal space. At the second stage it allowed to carry out surgical treatment of the deformed avascular ends of the fragments in optimal conditions and to adequately replace the defect by a self-fixing figure autograft from the tibial crest which was modelled according to the shapes and to the form of the lost segment of the radius or of the ulna. The long-term results were positive.
作者采用改良的两阶段自体骨移植方法,对27例主要为前臂创伤后骨缺损且伴有潜在感染的患者进行治疗。对骨折块进行初步纵向牵引,可重建下尺桡关节,同时对骨折块进行横向牵引可扩大骨间隙。在第二阶段,可以在最佳条件下对骨折块变形的无血运端进行手术治疗,并通过根据桡骨或尺骨缺失段的形状和形态制作的胫骨嵴自固定塑形自体骨充分填充骨缺损。长期效果良好。