Märdian S, Giesecke M, Haschke F, Tsitsilonis S, Wildemann B, Schwabe P
Charité - University Medicine Berlin, Centre for Musculoskeletal Surgery, Berlin, Germany.
Acta Chir Orthop Traumatol Cech. 2016;83(6):367-374.
healing disturbances occur in 5-10% of the cases. The anatomical region of the lower limb predisposes the tibia for bone healing disturbances. Reports about the incidence of non-unions of the tibial shaft are inhomogeneous. Different treatment strategies have been published which depend on the type of non-union as well as the history of the patient. These range from conservative approaches to complex procedures including segmental resection and bone transport. This review aimed to summarize the state of the art treatment of tibial non-unions and report about recent basic research results that may improve bone healing. Key words: tibial non-unions, treatment strategies, bone healing.
5%至10%的病例会出现愈合障碍。下肢的解剖区域使胫骨易于出现骨愈合障碍。关于胫骨干骨不连发生率的报告并不统一。已发表了不同的治疗策略，这些策略取决于骨不连的类型以及患者的病史。这些策略从保守方法到包括节段性切除和骨搬运在内的复杂手术。本综述旨在总结胫骨干骨不连的最新治疗方法，并报告可能改善骨愈合的近期基础研究结果。关键词：胫骨干骨不连、治疗策略、骨愈合。
