Pan K L, Shukur M H, Ghani M A
Department of Orthopaedics, National University of Malaysia, Kualar Lumpur.
Injury. 1994 Dec;25(10):655-7. doi: 10.1016/0020-1383(94)90007-8.
Ten patients with complex non-union of the tibia were treated by locked intramedullary nailing. These patients had scarred skin as a result of initial severe open fractures, multiple debridement or fasciotomies with external fixators and skin grafts applied. Seven of the patients also had previous osteomyelitis or pin track infections. Fully pain-free walking was achieved in all patients and radiological union in nine patients without the need for a bone graft. Four patients developed infection after nailing, of which three resolved with treatment.
10例胫骨复杂骨不连患者接受了带锁髓内钉治疗。这些患者因最初的严重开放性骨折、多次清创或应用外固定器及植皮进行的筋膜切开术而导致皮肤瘢痕形成。其中7例患者既往有骨髓炎或针道感染。所有患者均实现了完全无痛行走，9例患者实现了影像学骨愈合，无需植骨。4例患者在钉固定后发生感染，其中3例经治疗后痊愈。
