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Treatment of aseptic non-union after intramedullary nailing without removal of the nail

机译:在没有移除钉子的髓内钉子后无菌非联盟治疗

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摘要

Failure of bone healing after intramedullary nailing of a diaphyseal long bone fracture is a severe complication that requires an effective management to ensure the best chances for successful bone-union and termination of a long period of incapacity and morbidity for the sufferers. Traditional procedures require removal of the existing nail and re-fixation with wider nail, plate or external fixation constructs. The concept that bone union can be obtained with the existing nail in situ is gaining popularity as its removal adds trauma and potential complications and prolongs the operating time. This article reviews all techniques that have been proposed for the management of aseptic diaphyseal long bone non-unions that stimulate bone healing without removing the existing nail. (C) 2017 Elsevier Ltd. All rights reserved.
机译:椎间膜炎长骨骨折髓内钉骨愈合失败是一种严重的并发症,需要有效的管理,以确保成功的骨内联盟和终止患者患者的最佳丧失能力和发病率的最佳机会。 传统程序需要去除现有的钉子并用更宽的指甲,板材或外固定构造重新固定。 骨头联合可以用现有的钉子获得骨头的概念,原位是因为它的去除增加了创伤和潜在并发症并延长了操作时间。 本文综述了为管理无菌性透析性长骨非工会管理的所有技术,刺激骨愈合而不会移除现有的钉子。 (c)2017 Elsevier Ltd.保留所有权利。

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