Hörster G, Hierholzer G, Böhm E
Z Orthop Ihre Grenzgeb. 1983 Mar-Apr;121(2):128-36. doi: 10.1055/s-2008-1051327.
By means of clinical and morphological findings the procedure in the treatment of infected diaphyseal non-unions is described. The necessity of adequate stabilization--especially with the help of the external fixatoris pointed out. The infected cortex, often as a compromise, has to be left in place in order to give a foundation for periosteal bone grafts. Such cortical bone which is not vascularized and prevents the infect from subsiding has to be removed in a second step from a medullary approach. The defect is then filled up with autologous cancellous grafts. In the forearm the whole infected area of bone can be removed and replaced by a cortico-cancellous graft which is stabilized by internal fixation with a plate.
通过临床和形态学检查结果，描述了感染性骨干骨不连的治疗过程。指出了充分固定的必要性，特别是借助外固定架。为了给骨膜骨移植提供基础，通常作为一种折衷办法，感染的皮质骨必须保留原位。这种无血管化且阻止感染消退的皮质骨必须在第二步从髓腔入路予以切除。然后用自体松质骨移植填充缺损。在前臂，可以切除整个感染的骨区域，并用一块钢板进行内固定稳定的皮质松质骨移植来替代。
