Wu C C, Shih C H
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taiwan, Republic of China.
J Orthop Trauma. 1996;10(1):45-9. doi: 10.1097/00005131-199601000-00007.
Seventeen distal tibial nonunions were treated by a combination of metal removal with closed intramedullary reaming for internal bone graft and application of a long leg cast for aseptic nonunions and an external fixator for quiescent septic nonunions. The nonunions were present for a median of 1.8 years (range, 1.2-3.4 years). All achieved a solid union with a union period of 5.2 +/- 1.6 months. There was one complication of a renewed infection in a septic nonunion. The functional rating score improved from all unsatisfactory before treatment to 13 satisfactory after treatment. The other four (all were infected nonunions) also improved from poor to a fair outcome. In conclusion, the technique described is a simple and effective method to treat some complex distal tibial nonunions.
17例胫骨远端骨不连患者接受了以下联合治疗：通过闭合髓内扩髓取出金属植入物以进行自体骨移植，对于无菌性骨不连应用长腿石膏固定，对于静止性感染性骨不连应用外固定架。骨不连持续时间的中位数为1.8年（范围1.2 - 3.4年）。所有患者均实现了牢固愈合，愈合时间为5.2±1.6个月。有1例感染性骨不连出现再次感染的并发症。功能评分从治疗前全部不满意改善为治疗后13例满意。另外4例（均为感染性骨不连）也从差的结果改善为尚可的结果。总之，所描述的技术是治疗一些复杂胫骨远端骨不连的简单有效的方法。
