Dawson W J, Mead N C, Sweeney H J, Schafer M F
Clin Orthop Relat Res. 1978 Jan-Feb(130):247-53.
Twenty-nine patients with tibial non-union or delayed union were treated by onlay grafting, using long struts from the ipsilateral fibula and without disturbing the non-union site. Internal fixation and excessive dissection can be avoided. Follow-up in 28 patients showed solid healing in all; 20/28 patients united the fracture within 7 months. Removal of the fibula as a distracting force, combined with the principles of onlay grafting advocated by Phemister, is effective surgical treatment.
29例胫骨骨不连或延迟愈合患者采用同侧腓骨长骨条进行贴附植骨治疗，未干扰骨不连部位。可避免内固定和过度剥离。对28例患者的随访显示全部实现牢固愈合；28例中有20例在7个月内骨折愈合。去除腓骨作为牵张力量，结合菲米斯特倡导的贴附植骨原则，是有效的手术治疗方法。
