Management of forearm bone gap non-unions by Ilizarov technique

Автор: Bari M.M., Islam Shahidul, Shetu Nazmul Huda, Mahfuzer Rahman

Журнал: Гений ортопедии @geniy-ortopedii

Рубрика: Оригинальные статьи

Статья в выпуске: 1, 2017 года.

Бесплатный доступ

Purpose Proper treatment of forearm bone gap non-union should achieve both biological stimulation of the bone and elastic mechanical stability. The use of Ilizarov technique enhances the healing of a non-union providing osteogenic, osteoconductive and an optimal stability with the Ilizarov fixation. We retrospectively reviewed 26 patients affected by forearm bone non-union and treated with the Ilizarov fixation. Materials and Methods Twenty six patients were treated for gap non-unions of forearm bones with the Ilizarov compression distraction device from 2000 to 2015 in BARI-ILIZAROV ORTHOPAEDIC CENTRE. Results All the difficult non-unions healed in a mean of 7 months, ranging from 5 to 12 months. At the latest follow- up, forearm functions were satisfactory. Conclusion The Ilizarov compression distraction device is a fantastic tool in promoting the healing of forearm non-unions, even if the bones are very atrophic.

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Forearm bone non-union, distraction osteogenesis, ilizarov technique

Короткий адрес: https://sciup.org/142121938

IDR: 142121938   |   DOI: 10.18019/1028-4427-2017-23-1-26-29

Список литературы Management of forearm bone gap non-unions by Ilizarov technique

  • Bari M.M. A color atlas of limb lengthening, surgical reconstruction and deformity correction by Ilizarov technique. 2013. P. 127-134.
  • Kloen P., Buijze G.A., Ring D. Management of forearm nonunions: current concepts//Strategies Trauma Limb Reconstr. 2012. Vol. 7, no. 1. P. 1-11 DOI: 10.1007/s11751-011-0125-0
  • Richard M.J., Ruch D.S., Aldridge J.M. 3rd. Malunions and nonunions of the forearm//Hand Clin. 2007. Vol. 23, no. 2. P. 235-243. 02.005 DOI: 10.1016/j.hcl.2007
  • Giannoudis P.V., Einhorn T.A., Marsh D. Fracture healing: the diamond concept//Injury. 2007. Vol. 38, Suppl. 4. P. S3-S6.
  • The biology of bone grafting/S.N. Khan, F.P. Cammisa Jr, H.S. Sandhu, A.D. Diwan, F.P. Girardi, J.M. Lane//J. Am. Acad. Orthop. Surg. 2005. Vol. 13, no. 1. P. 77-86.
  • Stevenson S. Enhancement of fracture healing with autogenous and allogeneic bone grafts//Clin. Orthop. Relat. Res. 1998. No 355 Suppl. P. S239-246.
  • Use of homologous bone graft in the treatment of aseptic forearm nonunion/C. Faldini, M.T. Miscione, F. Acri, M. Chehrassan, M. Bonomo, S. Giannini//Musculoskelet. Surg. 2011. Vol. 95, no. 1. P. 31-35 DOI: 10.1007/s12306-011-0117-8
  • Vascularized bone transfer/C.S. Han, M.B. Wood, A.T. Bishop, W.P. Cooney 3rd//J. Bone Joint Surg. Am. 1992. Vol. 74, no. 10. P. 1441-1449.
  • Jupiter J.B. Complex non-union of the humeral diaphysis. Treatment with a medial approach, an anterior plate, and a vascularized fibular graft//J. Bone Joint Surg. Am. 1990. Vol. 72, no. 5. P. 701-707.
  • Treatment of pseudarthroses and ununited fractures, complicated by purulent infection, by the method of compression-distraction osteosynthesis/G.A. Ilizarov, A.G. Kaplunov, V.E. Degtiarev, V.I. Lediaev//Ortop. Travmatol. Protez. 1972. Vol. 33, no. 11. P. 10-14.
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