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首页> 外文期刊>Injury >Accordion technique combined with minimally invasive percutaneous decortication for the treatment of bone non-union
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Accordion technique combined with minimally invasive percutaneous decortication for the treatment of bone non-union

机译：手风琴技术结合微创经皮矫正治疗骨非联盟

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Abstract Background A variety of approaches have been used to treat oligotrophic or atrophic non-union. Conventional methods are often associated with great operative trauma, increased blood loss, a risk of re-infection, higher medical costs, and complications at the donor site. This study aimed to assess the clinical efficacy of the accordion technique combined with Minimally Invasive Percutaneous Decortication (MIPD) for these types of bone non-union. Methods From January 2010 to December 2015, 20 patients with long bone aseptic non-unions of the lower extremities without bone defects who were treated with the accordion technique combined with MIPD. The limb-length discrepancy (LLD) was less than 2cm in all patients. None of the patients received autogenous bone grafts during follow-up. All surgeries were performed by the same surgeon, and the modified Application of methods of Ilizarov (ASAMI) criteria were used to evaluate the operative effectiveness. Results A total of 20 patients were included in this study, and 1 patient was lost during follow-up. Fifteen of these patients presented with oligotrophic non-unions, and 5 patients presented with atrophic non-unions. The average follow-up period in these patients was 12.1 months (range: 8–42 months). The alternative compression and distraction procedure was repeated 1–3 times. Blood loss was 30 to 250ml during surgery. Ultimately, bone union was achieved in 19 patients and failed in 1 patient. The fractures healed within 4–8 months (average time: 5.9 months), and fracture healing was considered excellent in 19 patients and poor in 1 patient. Postoperative function was evaluated as excellent in 9 patients, good in 6 patients, fair in 4 patients, and poor in 1 patient. Conclusion The accordion technique combined with MIPD, which is a simple, minimally invasive procedure that does not require autologous bone grafting, resulted in a high bone union rate and good postoperative function. ]]>
机译：摘要背景已经用于治疗寡营养或萎缩非联盟的各种方法。常规方法通常与术后创伤，增加失血，重新感染，更高的医疗费用以及供体部位的并发症的常规方法。该研究旨在评估手风琴技术的临床疗效与这些类型的骨非联合的微创经皮脱发（MIPD）结合。方法从2010年1月到2015年12月，20例长骨无菌非工会的患者的下肢没有骨缺损，患者与MIPD相结合。所有患者的肢体长度差异（LLD）小于2厘米。患者均未在随访期间接受自生骨移植物。所有手术均采用相同的外科医生进行，使用ILIZAROV（ASAMI）标准方法的修正应用来评估操作效果。结果本研究共有20名患者，随访期间，1例患者丢失。这些患者的十五个患者含有寡营养非工会，5名患者呈现出萎缩非工会。这些患者的平均随访时间为12.1个月（范围：8-42个月）。替代压缩和分散化程序重复1-3次。手术过程中失血量为30至250毫升。最终，骨头联合在19名患者中获得，1例患者失败。骨折在4-8个月内愈合（平均时间：5.9个月），19例患者中骨折愈合和1例患者差。术后函数评价为9名患者的优异，在6名患者中良好，4名患者公平，1例患者差。结论手风琴技术与MIPD相结合，这是一种简单，微创手术，不需要自体骨移植，导致高骨联合率和良好的术后功能。 ]]>

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