Treatment of atrophic nonunion via autogenous ilium grafting assisted by vertical fixation of double plates: A case series of patients
| Autor: | Hanzhong Xue, Zhong Li, Yao Lu, Cheng Ren, Daigang Lu, Liang Sun, Teng Ma, Kun Zhang, Ming Li, Qian Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Medicine (General) Clinical Research Reports medicine.medical_treatment Nonunion Bone grafting Biochemistry Ilium 03 medical and health sciences Fixation (surgical) Young Adult 0302 clinical medicine Postoperative Complications R5-920 vertical fixation medicine Humans 030212 general & internal medicine structural autogenous Autografts Aged Retrospective Studies Fracture Healing 030222 orthopedics Bone Transplantation business.industry atrophic nonunion Biochemistry (medical) Cell Biology General Medicine Middle Aged medicine.disease musculoskeletal system equipment and supplies Surgery Treatment Treatment Outcome surgical procedures operative Fractures Ununited Female business Bone Plates |
| Zdroj: | Journal of International Medical Research, Vol 47 (2019) The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective To investigate the efficacy of the treatment of atrophic nonunion using structural autogenous ilium bone grafting in combination with vertical fixation of double plates. Methods This retrospective study analysed the clinical data from consecutive patients with atrophic nonunion who underwent autogenous ilium grafting in combination with double-plate vertical fixation. The injury type and the bone affected by nonunion, the duration of nonunion and the outcomes following surgery were recorded for all patients. Results The study enrolled 43 patients with atrophic nonunion of the upper and lower limbs: 17 patients with tibial nonunion, 21 with femoral nonunion, four with humeral nonunion and one with radial shaft nonunion. The mean duration of postoperative follow-up was 14.5 months (range, 8–28 months). A total of 43 of 43 patients (100%) achieved a healed nonunion fracture without the occurrence of complications such as infection, fracture of internal fixation or pain in the harvesting site. Comprehensive postoperative assessments of bone healing and function were observed to be good and/or excellent in all 43 patients. Conclusion Structural autogenous ilium grafting used in combination with double-plate vertical fixation can provide a stable structural environment for near optimal bone healing in patients with atrophic nonunion. |
| Databáze: | OpenAIRE |
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