Moroni A, Caja V L, Sabato C, Rollo G, Zinghi G
Third Department of Orthopaedic Surgery, Rizzoli Orthopaedic Institute, Bologna, Italy.
J Orthop Trauma. 1995;9(5):419-26. doi: 10.1097/00005131-199505000-00010.
Between June 1986 and December 1991, eight aseptic isolated severe forearm segmental bone losses were treated. The average age of the patients was 26 years. Three cases involved the radius and five the ulna. The average time between the onset of trauma and the final surgical intervention was 9 months. The surgical technique consisted of complete removal of necrotic bone, filling of the bone defect with an intercalary autogenous bone graft, and stable internal fixation, which required combining a plate and an opposite cortical bone allograft. The average bone loss length after freshening the bone ends was 7 cm (range 4-11). The average follow-up was 48 months (range 24-80). In all eight cases union and recovery of forearm function was achieved. The proposed surgical technique proved to be effective in obtaining results with no major complications.
1986年6月至1991年12月期间，对8例无菌性孤立性严重前臂节段性骨缺损进行了治疗。患者的平均年龄为26岁。3例累及桡骨，5例累及尺骨。创伤发生至最终手术干预的平均时间为9个月。手术技术包括彻底清除坏死骨，用自体骨块移植填充骨缺损，并进行稳定的内固定，这需要将钢板与对侧皮质骨移植相结合。修整骨端后的平均骨缺损长度为7厘米（范围4 - 11厘米）。平均随访时间为48个月（范围24 - 80个月）。所有8例均实现了前臂功能的愈合和恢复。所提出的手术技术被证明在获得结果且无重大并发症方面是有效的。
