Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Journal Abstract
Evaluation of nonunions of the tibia diaphysis - own experience
Piotr Koprowski, Mariusz Golec, Wojciech Dybek, Roman Sobolewski, Mirosław Kulej, Patryk Romaszkiewicz, Szymon Dragan
Ortop Traumatol Rehabil 2007; 9(3):246-253
ICID: 496876
Article type: Original article
IC™ Value: 7.12
Abstract provided by Publisher
Background. Delayed union is not an expected outcome of treatment of a bone fracture. The cause of the delayed union must be established before treatment of the complication can be undertaken. The method of treatment depends mainly on the specific nature of delayed bone union. The study evaluates the causes of delayed bone union during treatment of tibial shaft fractures.
Material and methods. Seventy-two patients with delayed union following a fracture of the tibial diaphysis were treated in the Department of Orthopaedics and Musculoskeletal Traumatology of Wrocław Medical University between 1995 and 2005. All patients had received previous treatment of the fractures. Depending on the morphology of the delayed union, the treatment was with Ilizarov's compression-distraction method or autologous osteoplasty with intramedullary, internal or external fixation. The choice of a method was based on an analysis of the features of the non-union while fracture morphology, presence of other concomitant sequelae of the original injury, fixation method and possible surgical errors, post-operative patient management, co-morbidity and patient compliance were evaluated as risk factors of delayed bone union. The risk factors were subdivided into treatment-dependent (external) and treatment-independent (internal). Treatment outcomes were evaluated on the basis of an orthopaedic examination and radiographic evidence.
Results. In the vast majority of patients, delayed union of the tibial diaphysis was due to external factors.
Conclusions. Delayed union of the tibia can be avoided through early and simultaneous treatment of all sequelae of the original trauma. Patient management must be based on state-of-the-art medical knowledge.

ICID 496876
PMID 17721421 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         stawy rzekome [2 related records]
         postacie zaburzeń zrostu [1 related records]
         operative treatment [48 related records]
         Pseudarthrosis [11 related records]
         types of delayed union of bone [1 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.