Transfocal Osteotomy to Treat Shear (Oblique) Non-union of Tibia.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-05-01 DOI:10.5005/jp-journals-10080-1555

Om Lahoti, Naveen Abhishetty, Mohannad Al-Mukhtar

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引用次数: 1

Abstract

Aseptic non-unions of tibial shaft fractures often need surgical treatment which carry significant socio-economic implications. The causes for non-union include patient co-morbidities, high energy trauma, open fractures and fracture geometry. Oblique fractures are subject to shear forces and, if not adequately neutralised, will fail to unite. Experiments have shown that callus formation is poor in oblique fractures due to local shear stresses. We report a technique of minimally invasive transfocal transverse osteotomy and compression in a hexapod circular fixator, Taylor Spatial Frame (TSF) for 12 patients treated with a shear non-union of tibia between 2010 and 2019. There are four female and eight male patients. The average age is 49 years (range from 26 to 72 years). The fracture pattern was oblique (30-45°) in all cases. Healing of the non-union occurred in 12 cases with one case needed additional treatment with bone marrow aspirate and demineralized bone matrix. The technique of creating a minimally invasive transfocal transverse osteotomy through the oblique non-union of tibia and the use of a hexapod circular fixator to compress the osteotomy is described and adds to the range of treatments available for aseptic non-union of tibia.

How to cite this article: Lahoti O, Abhishetty N, Al-Mukhtar M. Transfocal Osteotomy to Treat Shear (Oblique) Non-union of Tibia. Strategies Trauma Limb Reconstr 2022;17(2):117-122.

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经病灶截骨术治疗胫骨剪切(斜)不连。

无菌性胫干骨折不愈合通常需要手术治疗，这具有重大的社会经济影响。不愈合的原因包括患者合并症、高能创伤、开放性骨折和骨折几何形状。斜向骨折受到剪切力的影响，如果不能充分中和，将无法愈合。实验表明，由于局部剪切应力的作用，斜向骨折的骨痂形成较差。我们报告了在2010年至2019年期间，对12例胫骨剪切不愈合的患者进行了微创经局灶横向截骨和泰勒空间框架(TSF)内的六足圆形固定器压迫技术。病人中有4名女性和8名男性。平均年龄为49岁(从26岁到72岁)。所有病例骨折类型均为斜向骨折(30-45°)。12例骨不连愈合，1例需要骨髓抽吸和骨基质脱矿治疗。本文描述了通过胫骨斜骨不连行微创经局灶横截骨术和使用六足环形固定器压迫截骨术的技术，增加了无菌性胫骨不连的治疗范围。Lahoti O, Abhishetty N, Al-Mukhtar M.经局灶截骨术治疗胫骨剪切(斜向)不连。创伤肢体重建2022;17(2):117-122。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.