Bedacht R
Zentralbl Chir. 1976;101(19):1190-7.
In 87 patients from a total of 90 a posttraumatic or postoperative diaphysal or epimetaphysal shaft-pseudarthrosis could be found. In 53 patients we used the plate-osteosynthesis (tension-, axial compression-, neutralisation-, bridge- and bilateral plates). In 24 patients this was combined with other procedures (decortication, resection of the fragments or the pseudarthrosis or surplus--callus, implantation of autogenous bone). Using plate-osteosynthesis in all cases of aseptic or defected pseudarthrosis we gained osseous stabilization and healing, with good function, as was shown by followup studies. In infected pseudarthroses (8 patients) several operations were necessery for complete healing. Successfull treatment of aseptic and infected pseudarthrosis is based on the correct indication as well as correct choice and application of the plate.
在总共90例患者中,发现87例存在创伤后或术后骨干或干骺端假关节。53例患者采用钢板内固定(张力带、轴向加压、中和、桥接和双侧钢板)。24例患者采用了其他联合手术(骨皮质剥除、碎骨片或假关节或多余骨痂切除、自体骨植入)。在所有无菌性或有缺损的假关节病例中使用钢板内固定,我们获得了骨稳定和愈合,功能良好,随访研究表明了这一点。在感染性假关节(8例)中,需要多次手术才能完全愈合。无菌性和感染性假关节的成功治疗基于正确的适应证以及钢板的正确选择和应用。