Progress of research and technology application of the treatment of fracture nonunion
10.3969/j.issn.2095-4344.2013.35.018
- VernacularTitle:骨不连治疗的研究与技术应用进展*
- Author:
Zuopei WU
;
Guixin SUN
- Publication Type:Journal Article
- Keywords:
bone and joint implants;
review of bone and joint;
nonunion;
biomechanics;
electrical stimulation;
low-intensity pulsed ultrasound;
extracorporeal shock wave;
intramedul ary nail;
external fixation;
bone graft;
provincial grants-supported paper
- From:
Chinese Journal of Tissue Engineering Research
2013;(35):6333-6338
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Nonunion is a common clinical problem of bone fracture. For decades, with the help of
internal/external fixation materials, popularization of microsurgical technique, innovation of bone graft materials, especial y molecular biology techniques, breakthrough progress has been made in the treatment of nonunion. OBJECTIVE:To summarize the research progress of treatment in nonunion and to provide better technology theory and choices of method for the treatment of nonunion in future.
METHODS:The PubMed database and CNKI database were retrieved by the first author for the articles related to reason and treatment method of nonunion published from January 1990 to May 2013. The key words were
“fracture nonunion, treatment, progress”. For the articles in the same field, those published recently or in authorized journals were selected.
RESULTS AND CONCLUSION:The repetitive and old articles were eliminated, and final y 48 articles were selected for further analysis. At present, two methods can be used in the treatment of nonunion, including
nonsurgical method and surgical method, the surgical method is utilized more frequently and more efficiency in clinic. Fracture healing is the complex process involving various aspects, and once the nonunion occurred,
different patients should be treated with different methods, and the combination of various surgical and
nonsurgical methods can be used if necessary to obtain satisfactory effect. But al the treatment methods should pay attention to soft tissue protection.
