Specialist Trainee Trauma and Orthopaedic.
Specialist Trainee Trauma and Orthopaedic.
Injury. 2021 Jun;52 Suppl 2:S3-S11. doi: 10.1016/j.injury.2020.11.029. Epub 2020 Nov 11.
Nonunion following a long bone fracture causes considerable morbidity when it occurs. Risk factors depend on specific fractures but there is a complex interplay of injury severity, comorbidities, patient medication and infection. The majority of nonunions occur after long bone fractures with the tibia, femur, forearm, humerus and clavicle predominating. Despite interest in the biological augmentation of fracture healing, the majority of nonunions can be effectively managed with conventional surgical techniques. In this review we present a review of risk factors for nonunion and the outcome following surgical management.
长骨骨折后发生骨不连会导致相当大的发病率。风险因素取决于特定的骨折，但损伤严重程度、合并症、患者用药和感染之间存在着复杂的相互作用。大多数骨不连发生在长骨骨折后，以胫骨、股骨、前臂、肱骨和锁骨为主。尽管人们对骨折愈合的生物学增强很感兴趣，但大多数骨不连可以通过传统的手术技术有效地治疗。在这篇综述中，我们回顾了骨不连的危险因素和手术治疗后的结果。
