Pseudarthroses aseptiques des os longs [Pseudarthrosis of the long bones].

Details

Serval ID
serval:BIB_14C79A06355E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pseudarthroses aseptiques des os longs [Pseudarthrosis of the long bones].
Journal
Revue Médicale Suisse
Author(s)
Thein E., Chevalley F., Borens O.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2013
Volume
9
Number
411
Pages
2390-2396
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
5 to 10% of all fractures present with a delayed union, whereas 1 to 5% progress to a nonunion, which can be defined as a fracture older than 6 months and lacks any potential to heal without any further intervention. Different fracture and patient related risk factors exist, and the management of a nonunion needs a thorough clinical, radiological and biological workup to classify them in one of the two main categories, the viable nonunions that need essentially more stability, usually by a more rigid fixation, and the non-viable nonunions that need essentially a biological stimulation by decortication and bone grafting. This treatment still remains the first choice with bony healing obtained in 85 to 95% of cases, but it also comes along with certain risks, and some valuable alternatives exist if chosen on the basis of rigid criteria.
Keywords
Bone Transplantation, Femoral Fractures/diagnosis, Femoral Fractures/surgery, Fracture Fixation, Internal, Humans, Pseudarthrosis/classification, Pseudarthrosis/diagnosis, Risk Factors, Tibial Fractures/diagnosis, Tibial Fractures/surgery
Pubmed
Create date
05/02/2015 15:39
Last modification date
20/08/2019 12:43
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