Osteoperiosteal decortications combined with other fixation methods for nonunion：bone graft and implant management
10.3969/j.issn.2095-4344.2015.31.029
- VernacularTitle:骨皮质剥脱与其他固定方式联用修复骨不连：是否需植骨及内置物的处理
- Author:
Dawei TAO
;
Zhigang WANG
;
Kai ZHANG
- Publication Type:Journal Article
- Keywords:
Fractures,Ununited;
Bone Transplantation;
Internal Fixators
- From:
Chinese Journal of Tissue Engineering Research
2015;(31):5079-5084
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Osteoperiosteal decortication can treat the bone nonunion effectively, promote healing of fracture, but its action principle and key operation are not very clear, and there is less research addressing the postoperative treatment. OBJECTIVE:To review research progress of osteoperiosteal decortication for treating nonunion. METHODS: China National Knowledge Infrastructure, Wanfang database and PubMed database were used to search the related articles. The retrieval key words were “osteoperiosteal decortication, stripping, bone nonunion, bone disunion, bone delayed union”. Osteoperiosteal decortications combined with other fixation methods to repair the healing of bone nonunion were compared and analyzed. Bone implantation and implant management were summarized during repair. RESULTS AND CONCLUTION:105 literatures were retrieved by computer. After primarily screening by reading titles and abstract, irrelevant and repeated literatures were excluded. Finaly, 45 articles were summarized. Action principle, indications and operating points of osteoperiosteal decortications for bone nonunion were summarized. Osteoperiosteal decortications combined with other different fixation methods for the healing of bone nonunion were compared so as to better serve the clinic. Simultaneously, the paper also explores the combination with bone implant and management of implant during repair. Osteoperiosteal decortication with its simplicity and effectiveness has been respected in the field of orthopedics. However, for special patients, such as patients combined with destructive bone disease, osteoporosis, nonunion of hand and foot short bones, the treatment with osteoperiosteal decortications needs further researches.
