Old fracture nonunion of clinical research.docVIP

 PAGE \* MERGEFORMAT 16 Old fracture nonunion of clinical research [Abstract] [Objective] locking compression plate fixation and autogenous bone graft technology for treatment of old fractures Illizarov nonunion experience to explore the cause of nonunion, surgical evaluation of the safety and effectiveness. [Method] Analysis of the hospital from January 2002 on July -2007 nonunion of surgical treatment in patients with a total of 87 patients, all patients were open reduction and internal fixation of fracture nonunion operation to remove the internal fixation, the change with a locking compression plate and autogenous bone transplantation in the treatment of 80 cases, Illizarov treatment of 7 cases. their healing rate, complications, and clinical outcomes were evaluated. [Results] A total of 87 patients in this group, 82 patients were followed up from 6 ~ 24 months, average 14.7 months. follow-up patients were bone healing, fracture healing time was 4 to 10 months, an average of 6.8 months. were followed up 82 patients, 70 patients were compared with adjacent joint function Preoperative improvement of limb function are close to the fine legacy of .12 cases joint dysfunction, were associated with preoperative loss of limb with long-term fixed or related. no fixation failure and other complications. [Conclusion] iatrogenic factors fractures for reduction and internal fixation of nonunion of the main reasons for the anatomical characteristics of the fracture site, fracture type, and postoperative infection after fracture nonunion is also an important reason. locking compression plate fixation and autogenous bone graft technology is for old Illizarov nonunion fractures safe and effective method. [Keywords:] nonunion, locking compression plate, bone graft, Illizarov Technology Abstract: [Objective] To discuss the experience with locking compression plates fixation combining with autoallergic cancellous bone and Illizarov technique in the management of chron