Diagnostic and treatment modalities in nonunions of the femoral shaft. A review

被引：67

作者：

Gelalis, Ioannis D. ^{[1
]}

Politis, Angelos N. ^{[1
]}

Arnaoutoglou, Christina M. ^{[1
]}

Korompilias, Anastasios V. ^{[1
]}

Pakos, Emilios E. ^{[1
]}

Vekris, Marios D. ^{[1
]}

Karageorgos, Athanasios ^{[1
]}

Xenakis, Theodoros A. ^{[1
]}

机构：

[1] Univ Ioannina, Sch Med, Dept Orthopaed Surg & Traumatol, Ioannina 45221, Greece

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2012年 / 43卷 / 07期

关键词：

Nonunion; Femoral shaft; Intramedullary nailing; External fixation; Plate osteosynthesis; REAMED INTRAMEDULLARY NAILS; BONE MORPHOGENETIC PROTEIN; ASEPTIC NONUNION; DELAYED UNION; ELECTRICAL-STIMULATION; EXTERNAL FIXATION; DIAPHYSEAL NONUNIONS; INFECTED NONUNION; INTERNAL-FIXATION; LOWER-EXTREMITY;

D O I：

10.1016/j.injury.2011.06.030

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Nonunions of the femoral shaft represent a treatment challenge for the orthopaedic surgeon and a serious socioeconomic problem for the patient. Inadequate fracture stability, insufficient blood supply, bone loss or presence of infection are the main reasons for the development of a nonunion. Careful classification and exclusion of infection are crucial for the choice of the proper treatment alternative. Nail dynamization, primary intramedullary nailing or nail exchange, plate osteosynthesis and external fixation along with bone grafting, usage of bone substitutes and electrical stimulation can stimulate osseous union. A review of the aetiology, classification and treatment should prove helpful managing this serious complication. (c) 2011 Elsevier Ltd. All rights reserved.

引用

页码：980 / 988

页数：9

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