Vogel Carolina, Reumann Marie K, Menger Maximilian M, Herath Steven C, Rollmann Mika F R, Lauer Henrik, Histing Tina, Braun Benedikt J
Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
Klinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Tübingen, Deutschland.
Chirurgie (Heidelb). 2024 Aug;95(8):671-682. doi: 10.1007/s00104-024-02095-w. Epub 2024 Jun 3.
The diagnosis and treatment of non-unions still represents an interdisciplinary challenge. Therefore, prevention, early detection and specific treatment are of great importance. Non-unions of the upper extremities, although less common than that of the lower extremities, requires special attention for successful treatment due to the central role of the shoulder girdle and arm in day to day activities. Successful treatment of non-unions requires a comprehensive evaluation of the patient's medical history, a thorough clinical examination and in particular radiological imaging. In order to effectively treat the pseudarthrosis it is crucial to distinguish between pseudarthroses that are suspected to be due to infections and those that are not. This article presents a treatment algorithm for managing both pseudarthrosis due to infection and pseudarthrosis without infection in the upper extremities.
骨不连的诊断和治疗仍然是一个跨学科的挑战。因此，预防、早期发现和针对性治疗至关重要。上肢骨不连虽然不如下肢常见，但由于肩胛带和手臂在日常活动中的核心作用，成功治疗需要特别关注。骨不连的成功治疗需要对患者病史进行全面评估、进行彻底的临床检查，尤其是影像学检查。为了有效治疗假关节，区分疑似由感染引起的假关节和非感染性假关节至关重要。本文提出了一种治疗算法，用于处理上肢感染性假关节和非感染性假关节。
