Treatment of Non-Union after Tibial Shaft Fracture with a Full Cortical Thickness Inlay Bone Graft
Autor: | G. Hansson, R. Jerre, G. Markhede, G. B. J. Andersson |
---|---|
Rok vydání: | 1992 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Healing time Dentistry Bone grafting Non union Fracture Fixation Internal Fractures Open Fracture fixation Humans Medicine Tibia Fractures Closed Aged Bone Transplantation Inlay business.industry General Medicine Middle Aged Surgery Tibial Fractures Treatment Outcome Fractures Ununited Delayed union Fracture (geology) Female business |
Zdroj: | Upsala Journal of Medical Sciences. 97:169-176 |
ISSN: | 2000-1967 0300-9734 |
DOI: | 10.3109/03009739209179293 |
Popis: | Twenty-seven non-infected delayed union or non-union fractures of the shaft of the tibia in 26 patients were operated on with a full cortical thickness inlay graft taken from the injured leg. The initial trauma was moderate in 9 fractures and severe in 18. Fifteen fractures were closed injuries and 12 open. The fracture pattern was longitudinal in 5 cases, transverse in 11 and communited in 11. Surgery was performed 12 to 72 weeks (mean: 30 weeks) after the fractures had been sustained. All fractures healed after the bone grafting procedure. The time until union was established after surgery ranged from 6 to 37 weeks (mean: 17 weeks). The healing time was neither influenced by the initial type of fracture pattern (p > 0.05) nor by the fracture age at surgery (r = -0.21). Of 13 patients re-examined 8 to 16 years after surgery, the clinical results were classified as excellent in 8, as fair in 2, and as poor in 3 patients. |
Databáze: | OpenAIRE |
Externí odkaz: |