Hand fracture nonunion treatment of 10 cases of.docVIP

 PAGE \* MERGEFORMAT 11 Hand fracture nonunion treatment of 10 cases of Keywords: Hand Treatment of nonunion Craft along the coast gathering a higher frequency of occurrence of hand injuries, such as hand and finger fractures more common. Of blood circulation due to hand a rich, under normal circumstances as long as the fracture of right bit better, have the appropriate (and beyond) is fixed, in most cases can be 6 to 8 weeks to achieve fracture healing [1], metacarpal and phalangeal fracture healing occurred was low. Are now working on from January 2005 to October 2008 of the 10 cases admitted to our hospital metacarpal and phalangeal nonunion cases to make an analysis, the report is as follows. A clinical data 1.1 General Information The group of 10 cases, of which 4 males and 6 females, aged 18 to 50 years (mean 34 years); finger distal fracture in 1 case, the section of fracture in 3 cases, 2 cases of proximal fracture, metacarpal fracture, 4 cases; disarticulation 6 cases of injury, open fracture, 4 cases; part of the bone defect in 1 case, infection in 1 case. Underwent preoperative anteroposterior and lateral or oblique X-ray. 1.2 surgical The patients used in all surgical treatment, to take iliac bone or distal radius (bone section) graft, which take eight cases of iliac bone, take two cases of distal radius bone graft. Brachial plexus block using local anesthesia (take ilium), limb tourniquet on the airbag, phalangeal nonunion cases Fetch Lateral side longitudinal incision, metacarpal fracture nonunion cases and obtain more curved dorsal incision, exposed fracture end of the bite except at both ends of the hardening bone fractures, and open up two sections of the medullary cavity [3], to maximize the marrow cavity, pulling the fingers to normal length, the measurement of bone defect size. Anterior superior iliac spine on the post-office under local anesthesia, take the same amount of iliac bone plate and th