Use of the 'reamer irrigator aspirator' system for non-infected tibial non-union after failed iliac crest grafting

Use of the 'reamer irrigator aspirator' system for non-infected tibial non-union after failed iliac crest grafting
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DOI:
10.1016/j.injury.2007.12.020
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发表时间:
2008-07-01
影响因子:
2.5
通讯作者:
Pape, Hans Christoph
Pape, Hans Christoph
中科院分区:
医学3区
文献类型:
--
作者:
Kobbe, Philipp;Tarkin, Ivan S.;Pape, Hans Christoph

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讨论髂骨植骨治疗骨不连的愈合率为87%~100%。然而,持续性骨不连的治疗是具有挑战性的,文献中并没有推荐一种特殊的方法来治疗失败的植骨手术。在不幸的情况下,必须考虑截肢。因此,在骨不连的翻修手术中应选择合适的植骨。
DiscussionIliac crest bone grafting of non-unions has been associated with union rates from 87% to 100%. 5 However, the treatment of persistent non-unions is challenging and the literature does not recommend a particular approach for failed bone grafting procedures. In unfortunate cases, amputation must be considered. 9 Therefore, the choice of a suitable bone graft should be made at revision surgery of a non-union.