One-stage open cancellous bone grafting of infected fracture and nonunion.
Nineteen patients with either infected fractures or nonunions were managed by a one-stage protocol consisting of thorough debridement of the septic focus, followed by stabilization with an external fixator or a cast and fresh autogenous cancellous bone grafting; the wound was then left open. Nineteen fractures were healed and free of infection at an average of 3.5 years follow-up. Some considerations, including debridement, stabilization, bone grafting, and wound coverage, are discussed.
Lei
H
H
Department of Traumatology, Beijing Jishuitan Hospital, the Fourth Affiliated Hospital of Beijing Medical University, Beijing.
Yi
L
L
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D003646:Debridement; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000009:adverse effects / Q000379:methods; D005597:Fractures, Open / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005599:Fractures, Ununited / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000534:rehabilitation / Q000601:surgery*; D016896:Treatment Outcome; D014946:Wound Infection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*