Treatment Options for the Nonunions with Critical Sized Bone Loss
Journal of the Korean Fracture Society
;
: 89-101, 2017.
Article
in Korean
| WPRIM
| ID: wpr-180213
ABSTRACT
The management of nonunion with severe bone loss is a challenging task to both surgeons and patients. It often requires prolonged and potentially painful treatments. Moreover, it also represents serious socioeconomic issues for patients. Inadequate fracture stability, disrupted biology, such as blood supply and soft tissue, as well as severe bone loss or presence of infection are possible reasons for nonunion. Several different treatment modalities are available, including nail dynamization, plate osteosynthesis, exchange nailing, and adjuvant alternatives, such as electrical or ultrasound stimulation. Autogenous bone graft remains the standard method to reconstruct small defects. Distraction osteogenesis and induced membrane techniques are contemporary strategies of choice for the reconstruction of larger bony defects. Herein, we attempt to describe the key techniques that may be employed in treating nonunion with severe bone loss.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biology
/
Ultrasonography
/
Osteogenesis, Distraction
/
Transplants
/
Surgeons
/
Membranes
/
Methods
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2017
Type:
Article
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