| Autor: |
José Antonio, Enríquez Castro, Atanasio, López Valero, Antonio, García Hernández, Jorge Armando Hernández, Ynurreta Mancera, Josefina, Molina Méndez |
| Rok vydání: |
2007 |
| Předmět: |
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| Zdroj: |
Acta ortopedica mexicana. 21(1) |
| ISSN: |
2306-4102 |
| Popis: |
Non-union is most frequent in the tibia. It may occur with bone loss and is most often seen in the mid-third, mainly as a result of high-energy trauma. Our purpose is to present a treatment alternative.Prospective, longitudinal, experimental trial conducted between 1999 and 2004. Five patients classified according to Judet and Paley were included. A half-tubular fibular graft plus an autologous and/or heterologous iliac crest graft were used with a UTN nail for stabilization purposes; mean follow-up was 24 months.All patients were male. High energy trauma was the cause in 100%; 5 were Gustilo III fractures; Paley B1 type was present in 60%; the mean bone defect was 7.8 cm. Grade III Montoya bone healing was observed on average at 13.6 months. There were two complications; one infection that required removal of the synthesis without disrupting the healing, and one re-fracture which was managed at a different service.An autologous half-tubular fibular graft, plus autologous and/or heterologous graft, stabilized with a UTN nail, restores the loss caused by the bone defect and allows achieving an appropriate bone healing. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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