Iatrogenic factors fracture nonunion.docVIP

 PAGE \* MERGEFORMAT 15 Iatrogenic factors fracture nonunion [Keywords:] nonunion iatrogenic factors Reported nonunion rate of about 8% to 10% [1]. Although the concept in the treatment of fractures, fixation methods and continuously updated, but nonunion is still an unavoidable problem. Many scholars believe that iatrogenic factors are the main reasons for nonunion generated [2]. Thus a correct understanding of iatrogenic factors and fracture nonunion, delayed union relations, help to reduce the incidence of fracture nonunion. 1 on the modern biological fixation and lack of knowledge in fracture anatomy 1.1 can not fully understand the modern biological fixation With the development of biomechanics and bone biology, fracture of the block to protect the blood supply, eliminating the need for absolute stability and direct healing. But as long as fixed by the bones, when the weight-bearing physical activity, we need to produce stress redistribution, in part through bone fixation devices and reduce stress. But limb fractures formed by the biological material must be considered from a biological point of view of fracture. mechanical fixation of the fracture treatment although very important, but only part of the treatment, but to the creation of fracture healing a more stable condition, the treatment must focus on the search for stable fractures and soft tissue integrity of a balance between the establishment of internal fixation fracture healing well the concept of protection [3]. 1.2 lack of knowledge in fracture anatomy 1.2.1 Knowledge of the biomechanics of bone lack of understanding of their own, such as femur, humerus, radius and ulna bones are eccentric load, and with its own physiological curvature, which in the use of internal fixation, the first consideration to match the internal fixation and bone, making the plate closely with the bone and the largest area of uniform attachment, screwed into the compression screw can fracture fragme