[One-stage management of infected nonunion using granulated cancellous bone autografting after debridement].
Wei-Ju Lu, Bin Li, Hongbo Qian, Xiaofeng Zeng, Bin Xu, Yong Chen, Ni-Rong Bao, Meng Lu, Jian-Ning Zhao
Abstract
Wei-Ju Lu, Bin Li, Hongbo Qian, Xiaofeng Zeng, Bin Xu, Yong Chen, Ni-Rong Bao, Meng Lu, Jian-Ning Zhao
Abstract
OBJECTIVE: To investigate the curative effect of treating infected nonunion with debridement and granulated cancellous bone autografting in a one-stage procedure. METHODS: Between 1999 and 2005, 38 cases of infected nonunion were treated with immediate granulated cancellous bone autografting after debridement. RESULTS: At a mean follow-up of 44 months (range: 12 to 93), 33/38 (86.8%) had an excellent outcome, 5 (13.2%) developed infectious recurrent and/or persistent nonunion (1 case with infectious recurrence and persistent nonunion). Two patients suffered refracture after removing external fixator. CONCLUSION: The success rate of treating infected nonunion with debridement and granulated cancellous bone autografting in one-stage is high.
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OBJECTIVE: To investigate the curative effect of treating infected nonunion with debridement and granulated cancellous bone autografting in a one-stage procedure. METHODS: Between 1999 and 2005, 38 cases of infected nonunion were treated with immediate granulated cancellous bone autografting after debridement. RESULTS: At a mean follow-up of 44 months (range: 12 to 93), 33/38 (86.8%) had an excellent outcome, 5 (13.2%) developed infectious recurrent and/or persistent nonunion (1 case with infectious recurrence and persistent nonunion). Two patients suffered refracture after removing external fixator. CONCLUSION: The success rate of treating infected nonunion with debridement and granulated cancellous bone autografting in one-stage is high.
Key concepts: Nonunion, Medicine, Cancellous bone, Debridement (dental), Surgery, Stage (stratigraphy), Bone healing, Dentistry