科研之友
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摘要
Objective: The objective of this study was to evaluate the effectiveness of the treatment of infected forearm nonunion by bone transport. @@@ Materials and methods: We retrospectively reviewed 16 patients with infected forearm nonunion treated by bone transport. Our study included 10 males and 6 females with a mean of age 38.25 years. The site of bone defects involved 9 radius and 7 ulna. The average length of the bone defects after radical debridement was 3.81 cm (range 2.2-7.5 cm). @@@ Results: The mean follow-up after removal of the frame was 39.63 months (range 26-55 months). No patient was lost to follow-up. All the patients had bone union and no recurrence of infection was observed. The mean external fixation time was 6.19 months (range 3-10 months), and the mean external fixation index was 1.63 months/cm (range 1.14-2.00 months/cm). The mean degrees of wrist flexion were 49.69 degrees (range 45-55 degrees), and the mean degrees of wrist extension were 50.63 degrees (range 40-60 degrees). The mean degrees of elbow flexion were 143.12 degrees (range 135-150 degrees), and the mean degrees of elbow extension were 4.69 degrees (range 0-20 degrees). The mean degrees of forearm pronation were 82.50 degrees (range 70-90 degrees), and the mean degrees of forearm supination were 83.75 degrees (range 75-90 degrees). @@@ Conclusion: Our study suggested that bone transport in the treatment of infected forearm nonunion acquired satisfied functional results. Radical debridement is the key step to control bone infection.
- 出版日期2014-12
- 单位南开大学; 中国人民解放军总医院
