After long bone fracture nonunion prevention and surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 18 After long bone fracture nonunion prevention and surgical treatment of Authors: Xiong Jin, Luo Shan, CHEN Yixin, Wang Junfei, Shi Hongfei Abstract [Objective] Analysis of long-bone fractures after the occurrence of nonunion causes, treatment strategies and efficacy. [Method] in April 2000 ~ May 2006 long-bone fractures were treated nonunion after internal fixation of 68 cases, male 43 cases, female 25 cases, the initial treatment of fractures: intramedullary nailing in 27 cases, 32 cases of plate and external fixation in 4 cases, Kirschner wire in 3 cases, screws in 2 cases, of which seven cases of application of steel banding. Nonunion treated with surgical stump clearing, replacement of fixed (except for 1 case), bone graft surgery. [Results] The follow-up period from 6 to 18 months, an average of 10.6 months. 66 cases of stage Ⅰ healing, healing time an average of 5.5 months, Ⅰ healing rate was 97%. [Conclusion] iatrogenic factors are leading to long bone fracture nonunion after the main, reasonable surgical treatment can achieve a satisfactory effect. Keywords: long-bone fractures; surgery; nonunion; surgical treatment of With the high-energy injury in traffic accidents due to the complexity of the growing long bone fractures, internal fixation of the application of increasingly widespread, making long bone fracture nonunion after the incidence of high, up 5% ~ 10% [1] . The extension of nonunion in patients with sick time, on a huge negative impact on quality of life, while the treatment of fresh fractures than their more difficult, the prognosis is even worse is the clinician difficult problems. Undergraduate since April 2000 ~ May 2006 admitted after internal fixation of long bone fracture nonunion in 68 cases now on how to prevent its occurrence and should be explored. 1 Materials and methods 1.1 General Information The group of 68 patients, of which 43 males, 25 female, aged 15 t