Niedźwiedzki T
III Katedry Chirurgii AM w Krakowie.
Chir Narzadow Ruchu Ortop Pol. 1993;58(3):194-204.
Healing of long bones after autogenic bone marrow grafting have been monitored in 96 patients aged 36.6 on an average. Bone marrow was harvested from iliac crest and after mixing it with heparin grafted transcutaneously into the fracture site in 24 fracture patients. 42 delayed unions and 30 cases of pseudoarthrosis. Pseudoarthroses were managed by bone marrow transplantation combined with the use of Zespol fixator but no intervention within pseudoarthrosis itself. In all cases union has been achieved in fractures, delayed unions and pseudoarthroses on an average 2.8, 3.2 and 3.4 months after bone marrow transplant respectively. Transplanted bone marrow proved to speed up healing process, what turned out to be especially useful in treating of delayed unions. Its combination with Zespol fixation has brought about new method of managing pseudoarthroses.
对平均年龄为36.6岁的96例患者自体骨髓移植后长骨愈合情况进行了监测。从髂嵴采集骨髓，将其与肝素混合后经皮移植到24例骨折患者的骨折部位。有42例延迟愈合和30例假关节病例。假关节采用骨髓移植联合使用Zespol固定器进行治疗，但未对假关节本身进行干预。在所有病例中，骨折、延迟愈合和假关节分别在骨髓移植后平均2.8个月、3.2个月和3.4个月实现愈合。移植的骨髓被证明能加速愈合过程，这在治疗延迟愈合中尤其有用。它与Zespol固定相结合带来了治疗假关节的新方法。
