Treatment of non-infective nonunion with locking plates following surgery for long bone fractures

VernacularTitle:锁定钢板内固定治疗长骨骨折术后非感染性骨不连
Author: Chunsheng LIU ; Dan WANG ; Shuming ZHANG ; Sheng TAO ; Qun ZHANG ; Yizhu GUO ; Hua CHEN ; Xiangdang LIANG ; Peifu TANG
Publication Type:Journal Article
Keywords: Fracture fixation,internal; Bone transplantation; Fractures,ununited
From: Chinese Journal of Trauma 2011;27(10):897-900
CountryChina
Language:Chinese
Abstract: Objective To investigate the cause of fracture nonunion and discuss the experience of locking plates fixation combined with autoallergic cancellous bone in the management of non-infective long bone nonunion.Methods A retrospective analysis was made in 38 patients(29 males and 9 females)with fracture nonunion treated with locking plates fixation combined with autoallergic cancellous bone from August 2006 to August 2010.Of all,22 patients were treated with plates and 16 with interlocking intramedullary nails.Results All the patients were followed up for a mean of 12 months(range,6-24 months).The bone union time for all the fractures averaged 5.3 months(range,3-7 months),with no complications like implant loosening or fracture.Conclusions Iatrogenic factor is the main cause for fracture nonunion after open reduction and internal fixation of long bone fractures and the locking plates combined with autoallergic cancellous bone are a safe and effective treatment procedure.