逆行髓内钉固定联合 RIA 治疗股骨远端骨不连 1 例报告
Distal femur nonunion treated with retrograde intramedullary nailing and RIA: a case report.
机构信息
Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy.
Orthopaedics and Traumatology Unit, "Maggiore della Carità" Hospital, Università del Piemonte Orientale (UPO), Corso Mazzini 18, 28100 Novara (Italy).
出版信息
Acta Biomed. 2020 May 30;91(4-S):259-266. doi: 10.23750/abm.v91i4-S.9656.
Abstract
The current treatment of distal femur fractures includes locking plating and retrograde intramedullary nailing. These fractures are difficult to manage also for experienced surgeons, with results not always satisfactory. Reported nonunion rates now range from 0 to 34%. Factors associated with nonunion include comorbidities, such as obesity and diabetes, as well as the presence of open fractures, medial bone defects and comminuted fractures. This case report summarizes all of these assumptions and it concerns a 58 years old patient who underwent to 6 surgical procedures before to arrive to bone healing.
摘要
目前，治疗股骨远端骨折的方法包括锁定钢板和逆行髓内钉。即使是经验丰富的外科医生，处理这些骨折也很困难，结果并不总是令人满意。目前，报道的不愈合率为 0 至 34%。与不愈合相关的因素包括肥胖、糖尿病等合并症，以及开放性骨折、内侧骨缺损和粉碎性骨折的存在。本病例报告总结了所有这些假设，并涉及一名 58 岁的患者，他在骨愈合之前经历了 6 次手术。
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