Treatment of aseptic tibial shaft non-union without bone defect
| Autor: | M. Tall |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Magnetic Field Therapy Ultrasonic Therapy medicine.medical_treatment Bone morphogenetic protein Fracture Fixation Internal 03 medical and health sciences Fixation (surgical) 0302 clinical medicine medicine Humans Internal fixation Orthopedics and Sports Medicine 030212 general & internal medicine Bone Marrow Transplantation Fracture Healing 030222 orthopedics Bone Transplantation Platelet-Rich Plasma business.industry Ultrasound Middle Aged Decortication Bone defect Surgery Tibial Fractures Fractures Ununited Bone Morphogenetic Proteins Orthopedic surgery Female Diaphyses Aseptic processing business |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 104:S63-S69 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2017.05.028 |
| Popis: | Non-union is incomplete consolidation of a fracture, without effective formation of a uniting callus. Despite better understanding of the physiology of bone consolidation, management of tibial non-union remains a challenge for orthopedic surgeons. Several treatments have been developed in recent decades, and we now have a range of techniques, with indications based on type of non-union, prior treatments, available equipment, and the surgeon's experience. Firstly, there are surgical techniques such as osteo-periosteal decortication, cancellous iliac graft, or inter-tibiofibular graft. The decision to fix the non-union (or revise existing fixation) and choice of type of internal fixation depend on the stability of the fracture site. There are also non-operative biological and biochemical consolidation stimulation techniques: local injection of bone-marrow, platelet-rich plasma (PRP) or bone morphogenetic protein (BMP). Stimulation can also be physical, applying ultrasound or an electromagnetic field to the non-union site. Each technique may be used in isolation or association. |
| Databáze: | OpenAIRE |
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