Brakenbury P H, Corea J R, Blakemore M E
Injury. 1981 Mar;12(5):371-5. doi: 10.1016/0020-1383(81)90005-x.
Twenty-one cases of non-union of the isolated fracture of the shaft of the ulna were reviewed. The factors which have been shown to predispose to non-union include the site of the fracture, its initial displacement, comminution, the presence of multiple injuries and early mobilization. The use of rigid fixation and the delay of one week in operation reduced the incidence of non-union in those internally fixed. No evidence was found that internal fixation reduced the incidence of delay in union, compared with closed treatment. Fourteen of the fractures later united. Plating the fracture of internal fixation with bone grafting secured union in 11 out of 12 cases. These were the only satisfactory methods of treatment.
回顾了21例尺骨干孤立性骨折不愈合的病例。已表明易导致不愈合的因素包括骨折部位、初始移位、粉碎情况、多发伤的存在以及早期活动。采用坚强内固定并将手术延迟一周可降低接受内固定患者的不愈合发生率。与闭合治疗相比，未发现有证据表明内固定可降低延迟愈合的发生率。其中14例骨折后来愈合。12例骨折采用钢板内固定并植骨，11例获得愈合。这些是仅有的令人满意的治疗方法。
