Moyikoua A, Pena-Pitra B
Service d'Orthopédie-Traumatologie, C.H.U. Brazzaville, Congo.
Rev Chir Orthop Reparatrice Appar Mot. 1998 Jul;84(4):358-62.
The purpose of our study was to analyze the use of intertibio-fibular bone grafting (I.T.F.G.) in non-union presenting a septic risk.
Twenty one non-unions of the tibial diaphysis presenting a septic risk were treated by intertibio-fibular bone grafting through a postero-lateral approach, over a seven year period (1988-1995). There were 2 septic non-unions and 19 non-unions following open fractures, all treated initially by external fixation. Seventeen patients were male, four were female. Mean age was 33 years (range 19 to 70 years).
Healing was obtained in 20 cases, only one patient had a second bone grafting. Postoperative complications included two infections (one deep and one superficial) without consequences on bone healing. Functional results were good and excellent in 18 cases (85.7 per cent).
DISCUSSION-CONCLUSION: Our study showed that among techniques for the treatment of non-union presenting a septic risk, the I.T.F.G. is one of the most reliable, with low morbidity and low cost. The authors recommend this type of surgery particularly in developing countries.
我们研究的目的是分析胫腓骨间植骨术（I.T.F.G.）在存在感染风险的骨不连治疗中的应用。
在七年时间（1988 - 1995年）里，对21例存在感染风险的胫骨干骨不连患者采用后外侧入路进行胫腓骨间植骨术治疗。其中有2例感染性骨不连和19例开放性骨折后骨不连，所有患者最初均采用外固定治疗。男性17例，女性4例。平均年龄33岁（范围19至70岁）。
20例获得愈合，仅1例患者进行了二次植骨。术后并发症包括2例感染（1例深部感染和1例表浅感染），但对骨愈合无影响。18例（85.7%）功能结果为良好及优秀。
讨论 - 结论：我们的研究表明，在治疗存在感染风险的骨不连的技术中，胫腓骨间植骨术是最可靠的技术之一，发病率低且成本低。作者特别推荐这种手术方式，尤其是在发展中国家。
