Schulz Arndt P, Faschingbauer Maximilian, Seide Klaus, Schuemann Uwe, Mayer Martin, Jürgens Christian, Wenzl Michael
BG Trauma Hospital Hamburg, Trauma and Reconstructive Surgery, Hamburg, Germany.
Department of Musculoskeletal Surgery, University Hospital Lübeck, Lübeck, Germany.
Eur J Trauma Emerg Surg. 2009 Apr;35(2):127-31. doi: 10.1007/s00068-008-8009-9. Epub 2008 Jul 25.
To analyse the results of the treatment of aseptic femoral non-unions using a singular locked implant.
Consecutive case series.
A level-1 trauma center with a high number of specialist referrals.
The study is based on a consecutive series of patients with prospective data evaluation. From 1993 to 2003, 75 patients were treated with a wave plate. All patients had persistent non-union of the femoral shaft without clinical or laboratory signs of infection and previous unsuccessful attempts to treat the non-union.
The method of treatment was standardized and included a lateral approach, cancellous bone hip grafting, osteosynthesis with a wave-shaped plate (PPF) and polyaxial locking screws as well as the application of a gentamicin-PMMA chain.
Time to achieve union, rate of implant failure and number of remaining nonunions after treatment. A total of 75 patients had full follow-up and were included in the study.
The union of the fracture was found in 64 patients after the initial procedure. In eight cases a second procedure was performed to achieve union in the form of a second bone graft because of a delay in callus formation. The mean time to union was 7.3 months with a range from 3 to 19 months. The implant failed in three cases accounting for 4% of the total.
The locked wave plate offers a further reliable treatment for complex aseptic femoral non-unions.
分析使用单一锁定植入物治疗无菌性股骨骨不连的结果。
连续病例系列。
一家有大量专科转诊患者的一级创伤中心。
本研究基于一系列连续的患者，对其进行前瞻性数据评估。1993年至2003年，75例患者接受了波形钢板治疗。所有患者均存在股骨干持续性骨不连，无临床或实验室感染迹象，且既往治疗骨不连均未成功。
治疗方法标准化，包括外侧入路、松质骨髋部植骨、使用波形钢板（PPF）和多轴锁定螺钉进行骨固定以及应用庆大霉素-聚甲基丙烯酸甲酯链。
达到骨愈合的时间、植入物失败率以及治疗后剩余骨不连的数量。共有75例患者获得完整随访并纳入本研究。
64例患者在初次手术后实现骨折愈合。8例患者因骨痂形成延迟，进行了第二次手术，通过再次植骨实现愈合。平均愈合时间为7.3个月，范围为3至19个月。3例植入物失败，占总数的4%。
锁定波形钢板为复杂无菌性股骨骨不连提供了另一种可靠的治疗方法。
