Qi Bao-Chang, Gao Long, Wang Jian, Ran Jian
Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China.
Department of Orthopedic Traumatology, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Technol Health Care. 2023;31(2):783-787. doi: 10.3233/THC-220126.
Although tibial shaft fractures are the third most common long bone fractures in children after the forearm and femur, nonunion of these fractures are rare in the pediatric population.
Despite seldom seen, tibial nonunion is very complex and it is also a devastating complication of tibial fracture especially when infected. Numerous methods have been employed to treat pediatric tibial nonunion, but there is no consensus. Here, we present a case of a child with right tibial shaft fracture nonunion. We treated this patient with ipsilateral free non-vascularized fibular graft.
Both the nonunion site and fibular donor site united well with good function in the injured extremity and no adverse events.
We recommend the use of ipsilateral free non-vascularized fibular graft for the treatment of pediatric tibial shaft nonunion.
尽管胫骨干骨折是儿童中仅次于前臂和股骨骨折的第三常见长骨骨折，但这些骨折的不愈合在儿科人群中很少见。
尽管胫骨干不愈合很少见，但它非常复杂，也是胫骨骨折的一种毁灭性并发症，尤其是在感染时。已经采用了多种方法来治疗儿童胫骨干不愈合，但尚无共识。在此，我们报告一例右胫骨干骨折不愈合的儿童病例。我们采用同侧游离非带血管腓骨移植治疗该患者。
不愈合部位和腓骨供骨部位均愈合良好，伤肢功能良好，无不良事件发生。
我们建议采用同侧游离非带血管腓骨移植治疗儿童胫骨干不愈合。
