40 cases of limbs and surgical treatment of nonunion of the reasons.docVIP

 PAGE \* MERGEFORMAT 5 40 cases of limbs and surgical treatment of nonunion of the reasons Of: Chen Gu before, Li Ming, Yang Bing, Zhu construction [Abstract] analyzed 40 cases of limb bone nonunion clinical data, of which 20 cases of surgery, postoperative X-ray films showed an average of 6 months of fracture healing. That the main reasons for nonunion patients with systemic factors, including the location and degree of fracture and internal fixation material selection and technical methods. [Keywords:] nonunion, fixation, bone graft Qujing Municipal Public Security Bureau forensic out-patient and in our hospital from 1998 to 2007, patients were treated 40 cases of nonunion, the application of open reduction, external fixation, intramedullary nail, Locking compression plate fixation and bone grafting of bone not even the 20 cases, and achieved excellent results, are reported below. Clinical data 1 General Information The group of 40 clinical cases, including 20 cases of .20 cases of surgical treatment of 17 cases in men and 3 women, aged 10 to 60 years, mean 40.3 years old. The causes of injury: 14 cases of road traffic injuries, falls injury in 3 cases, 2 cases of mine injuries in the accident, mechanical injury in 1 case. injury to our hospital and the forensic identification of out-patient for 6 months to 7 years (average 14 months. 2, 20 cases of surgical treatment, are first out the failure of internal and external fixation, exposure of the fracture ends, clean up stump scar granulation tissue, degeneration of bone sclerosis in addition to bite, get through the bone marrow cavity, according to fracture site and soft tissue conditions, select fixation. including 10 cases of interlocking medullary pin, screw locking compression plate in 5 cases, external fixation in 4 cases, the infection were treated with open debridement bone in 1 case. All cases were taken from the iliac bone graft Early postoperative functional exercise. 3 result