Ferreira N, Marais L C
Department of Orthopaedic Surgery, Tygerberg Hospital, University of Stellenbosch, Cape Town, 7505, South Africa.
Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedic Surgery, Greys Hospital, Nelson R. Mandela School of Medicine, University of KwaZulu Natal, Pietermaritzburg, South Africa.
Strategies Trauma Limb Reconstr. 2016 Aug;11(2):123-7. doi: 10.1007/s11751-016-0254-6. Epub 2016 May 27.
Femoral non-unions are difficult to treat even for the experienced orthopaedic trauma surgeon. If the non-union follows failure of modern stable internal fixation, the complexity of the management is further increased. We report two cases of stiff hypertrophic femoral non-unions after failed locking plate fixation that were successfully treated with a new hexapod circular external fixator. In addition to providing the necessary stability for functional rehabilitation and union, the hexapod circular fixator software allows gradual correction of deformities in order to restore the normal mechanical alignment of the limb.
即使对于经验丰富的骨科创伤外科医生来说，股骨不愈合也很难治疗。如果不愈合是在现代稳定内固定失败后发生的，治疗的复杂性会进一步增加。我们报告了两例锁定钢板固定失败后出现的僵硬性肥大性股骨不愈合病例，这两例病例均成功采用新型六足环形外固定器进行了治疗。除了为功能康复和愈合提供必要的稳定性外，六足环形固定器软件还允许逐步矫正畸形，以恢复肢体的正常力学对线。
