[One-stage management of infected nonunion using granulated cancellous bone autografting after debridement].
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.


CONCLUSIONS
The success rate of treating infected nonunion with debridement and granulated cancellous bone autografting in one-stage is high.
Lu
Wei-Ju
WJ
Department of Orthopedics, Nanjing General Hospital of Nanjing Command, Nanjing 210002, China. tianyazhichi2@sina.com
Li
Bin
B
Qian
Hong-Bo
HB
Zeng
Xiao-Feng
XF
Xu
Bin
B
Chen
Yong
Y
Bao
Ni-Rong
NR
Lu
Meng
M
Zhao
Jian-Ning
JN
D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003646:Debridement; D005260:Female; D005599:Fractures, Ununited / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007239:Infections; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome