Comparison of therapeutic methods in postoperative non-union of tibial fracture / 中国矫形外科杂志

ABSTRACT

[Objective] To explore choice of therapeutic methods and curative effects in postoperative non-union of tibial fracture with interlocking intrameduilary nails.[Method]There were 36 cases of postoperative non-union in the 348 cases of tibial fracture with interlocking intrameduliary nails.Among them,10 cases were treated with tile extracorporeal shock wave;8 cases were changed dynamization of intramedullary nailing;6 cases were changed dynamization of intramedullary nailing and added bone autografting;5 cases were added bone autografting;3 cases were treated with changing plate and adding bone autografting;4 cases of the hyperplastic non-union were treated with changing interlocking intramedullary nails.[Result]All the cases were followed up for an average of 28 months.There were more short bone healing times by second-time operation in 6 months than after 6 months(P