PROGNOSTIC FACTORS IN NONUNION OF THE TIBIA - AN EVALUATION OF 185 CASES TREATED WITH CONSTANT DIRECT-CURRENT
PROGNOSTIC FACTORS IN NONUNION OF THE TIBIA - AN EVALUATION OF 185 CASES TREATED WITH CONSTANT DIRECT-CURRENT
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DOI：
10.1097/00005373-198409000-00003
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发表时间：
1984-01-01
影响因子：
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通讯作者：
MULLER, G
中科院分区：
文献类型：
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作者：
HEPPENSTALL, RB;BRIGHTON, CT;MULLER, G
本文报告了185例胫骨骨不连的回顾性临床研究。损伤的严重程度在骨不连的发生中起重要作用。开放性损伤的一期缝合被认为是危险的，并导致感染的发生率高，37例中有27例。胫骨远端1/3是最常见的骨不连部位。这项研究中最引人注目的发现之一是高发病率（92.4%）的患者表现为最初延迟超过6周的承重。这是胫骨骨不连发展的一个明确的促成因素。
The present series represents a retrospective clinical study of 185 case of nonunion of the tibia. The severity of the injury was important in the development of the nonunion. Primary closure of open injuries was noted to be dangerous and resulted in high incidence of infection, 27 of 37 cases. The distal 1/3 of the tibia was the most frequent site of the nonunion. One of the most striking findings in this study was a high incidence (92.4%) of patients presenting with initial delay to weight bearing of greater than 6 wk. This is a definite contributory factor in the development of nonunion of the tibia.