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Current treatment of infected non-union after intramedullary nailing

机译：髓内钉后的感染非联盟的目前治疗

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Non-union is a devastating consequence of a fracture. Non-unions cause substantial patient morbidity with patients suffering from loss of function of the affected extremity, increased pain, and a substantial decrease in the quality of life. The management is often associated with repeated, unsuccessful operations resulting in prolonged hospital stays, which has social and economic consequences to both the patient and the healthcare system. The rates of non-union following intramedullary (IM) nailing vary according to anatomical location. There is currently no consensus regarding the treatment of infected non-unions following IM nailing, but the most common procedures reported are; exchange IM nail with antibiotic suppression or excision of the non-union, (stabilisation with external fixation or less commonly plate or IM nail) and then reconstruction of the bone defect with distraction osteogenesis or the Masquelet technique. This article explores the general principles of treatment, fixation modalities and proposes a treatment strategy for the management of infected non-unions following intramedullary nailing. (C) 2017 Published by Elsevier Ltd.
机译：非联盟是骨折的毁灭性结果。非工会导致患有受影响末端功能丧失的患者的大量患者发病率，增加了疼痛的痛苦，以及生活质量下降。管理层通常与重复，不成功的操作相关，导致长期的医院住宿，这对患者和医疗保健系统具有社会和经济的后果。在髓内（IM）钉后的非联合率根据解剖位置而变化。目前没有关于我钉在钉子后的受感染非工会的治疗的共识，但报告的最常见程序是; Exchange Im Nail与抗生素抑制或切除非联盟，（用外固定或较少的常见板或IM钉子稳定），然后用牵引骨质发生或术语重建骨缺陷或术语。本文探讨了治疗，固定方式的一般原则，并提出了在髓内钉髓内遵循受感染的非工会管理的治疗战略。 （c）2017年由elestvier有限公司出版

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