Augmented Plating and Bone Grafting in Treatment of Tibial and Femoral Shaft Nonunion

IF 0.2 Q4 EMERGENCY MEDICINE
A. Ebrahimpour, M. Chehrassan, F. Biglari, M. Sajjadi, Pouyan Jalalpour, M. Sadighi
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引用次数: 2

Abstract

Background: Tibial and femoral nonunion is not unusual after intramedullary fixation and might lead to multiple surgical procedures and long-term disabilities. Different surgical techniques have been described for management of lower limb long bone nonunion primarily treated with intramedullary nailing. Despite the use of various procedures, the success rate of most of them are suboptimal, increases the risk of related complications and costs. Objectives: Augmented plating concomitant with autologous bone grafting technique make it possible to improve healing in a single operation. Methods: In this study, 19 patients with lower limb long bone nonunion were primarily fixed with intramedullary nails, were treated with augmented plating and autologous bone grafting and followed for one year. Results: The union rate was 94.7% with a mean union time of 4.75 months, 18 patients healed completely with solid union and only one case of femoral shaft nonunion remained. Infection and other surgical-related complications were not detected. After one year follow up, Visual Analog Scale was 31 ± 18.8, and decrement in active knee range of motion was more than 20% compared with opposite side in 47.4% of the patients. Conclusion: According to the results, the single stage augmented plating with locking plates combined with autologous bone grafting can be used as a useful method in treatment of femoral or tibial nonunion.
强化钢板植骨治疗胫骨股骨干骨不连
背景:胫骨和股骨骨不连在髓内固定后并不罕见,可能导致多次手术和长期残疾。不同的手术技术已经描述了处理下肢长骨不连,主要是髓内钉治疗。尽管使用了各种方法,但大多数方法的成功率都不是最佳的,这增加了相关并发症的风险和成本。目的:增强钢板联合自体骨移植技术使单次手术改善骨愈合成为可能。方法:对19例下肢长骨不连患者先行髓内钉固定,再行增强钢板和自体植骨治疗,随访1年。结果:愈合率94.7%,平均愈合时间4.75个月,18例患者愈合完全,愈合牢固,股骨干骨不连1例。未发现感染和其他手术相关并发症。随访1年后,视觉模拟量表(Visual analogue Scale)为31±18.8分,47.4%患者的膝关节活动范围较对侧减少20%以上。结论:单期强化钢板加锁定钢板联合自体植骨是治疗股骨或胫骨骨不连的有效方法。
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
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