Michiels I, Broos P, Gruwez J A
Acta Chir Belg. 1984 Sep-Oct;84(5):293-9.
When treating fractures, whether by closed or open technique, the event of a pseudarthrosis is always a threatening complication. Absolute immobilization of the fracture site and tissue viability are the two essential conditions to obtain ossification of a pseudarthrosis. Consequently, after a reasonable period of conservative therapy, consolidation can best be obtained by osteosynthesis associated with decortication and/or cancellous bone grafting. The application of the two biomechanical laws is demonstrated in our series of 32 cases with pseudarthrosis.
治疗骨折时,无论采用闭合还是开放技术,假关节的形成始终是一种具有威胁性的并发症。骨折部位的绝对固定和组织活力是实现假关节骨化的两个基本条件。因此,经过一段合理的保守治疗期后,通过与骨皮质剥除和/或松质骨移植相关的骨固定术,最有可能实现骨折愈合。在我们的32例假关节病例系列中,展示了这两条生物力学定律的应用。