Circular interlocking nail failure of bone grafting to treat multiple operations femoral nonunion in 21 cases.docVIP

 PAGE \* MERGEFORMAT 13 Circular interlocking nail failure of bone grafting to treat multiple operations femoral nonunion in 21 cases Study: High-Lou Nan Zhong Li Zhang man Jiang Wang Mingli Keywords: femoral fractures; nonunion; intramedullary nail; ring graft The growth of older age, osteoporosis, increased direct result of the constant a serious decline in bone mass, significantly increased the risk of long bone fracture, fracture easily; and fractures because of decreased ability of local blood supply, poor and periosteal bone formation of bone lead to callus formation was not easy to slow down the healing, the incidence of nonunion was significantly higher than young people. As early as 1965, had intramedullary nailing for femoral shaft nonunion of success reported. In recent years, more than at home and abroad are also on the successful treatment of intramedullary nailing of femoral nonunion were reported. This study is the first time for elderly patients with femoral nonunion systematic observation. 1 Materials and Methods 1.1 The object selected in the Japan Union Hospital of Jilin University and Jilin University Second Hospital during the period 2005 to 2009 line repeated surgical failure of the femur fracture nonunion in elderly patients 21 patients, 15 males and 6 females, aged 55 to 78 years, average 66.2 years old. 17 cases of a non-infected nonunion, 4 cases of local infection. Initial surgery in patients with plate fixation in 14 cases, 6 cases of intramedullary nailing using the ordinary, and 1 case using a simple wire fixation screw combination. The formation of nonunion of the time after 5 ~ 16 months, which hypertrophic pseudoarthrosis in 13 cases, 8 cases of atrophic pseudoarthrosis. 1.2 The surgical group had fever, local abscesses and even sinus formation in patients with acute stage of infection, the first thorough debridement, and in accordance with the results of bacterial culture and systemic antibiotic drug res