Clinical research of chronic fracture nonunion management
- VernacularTitle:陈旧性骨折骨不连的临床治疗研究
- Author:
Shikong JIA
- Publication Type:Journal Article
- Keywords:
fracture nonunion;
locking compression plates;
bone graft;
Illizarov technique
- From:
Orthopedic Journal of China
2006;0(20):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To discuss the experience with locking compression plates fixation combining with autoallergic cancellous bone and Illizarov technique in the management of chronic fracture nonunion,and to further investigate the reason of fracture nonunion and assess the safety and the efficacy of this procedure.[Method]A retrospective analysis was made including 87 consecutive patients with fracture nonunion treated at our hospital with locking compression plates fixation combining with autoallergic cancellous bone(80 cases) and Illizarov technique(7 cases) from January 2002 to July 2007.Patients were evaluated for radiographic bony fusion,complications and clinical outcome.[Result]Mean follow-up period was 14.7 months.Bony union was achieved in all cases after a mean time of 6.8 months after operation.Joint function was improved after operation in 70 patients.No major complications related to the procedure or hardware failure occurred.[Conclusion]Medical factors are main etiopathogenisis of chronic fracture nonunion after operation.Locking compression plates combining with autoallergic cancellous bone and Illizarov technique are safe and effective procedure for the treatment of fracture nonunion.
