[Current role of decortication in problems of bone healing].
The authors present the results of 101 osteo-periostal decortications. This technique was used in 72 cases of aseptic non-union, 15 cases of infected non-union and 14 cases with malunion. Stable fixation was carried out using a plate or an external Judet fixator. An autologous cancellous or cortico-cancellous bone graft was added in 12 cases. Union was achieved in 98 of 101 patients after an average of 45 days to 4 months, depending on the localisation and the etiology involved. The 3 failures were due to technical errors or presence of an unfilled bone defect. Osteoperiostal decortication is a reliable and reproductible solution to many problems of malunion or non-union. We consider bone grafting to be necessary only in patients with a major bone defect.
Judet
T
T
Service de Chirurgie générale et traumatologique, Hôpital Tenon, Paris.
Richard
L
L
de Thomasson
E
E
Arnault
O
O
D016025:Bone Transplantation; D002146:Bony Callus / Q000601:surgery; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods; D011542:Pseudarthrosis / Q000601:surgery*; D014945:Wound Healing
Place actuelle de la décortication dans les problèmes de consolidation osseuse.