期刊
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
卷 41, 期 -, 页码 S69-S71出版社
ELSEVIER SCI LTD
DOI: 10.1016/S0020-1383(10)70013-9
关键词
BMP; Reaming; Tibia; Nonunion
Nonunions of the tibia continue to present some of the most difficult challenges in orthopaedic fracture care. Whether the consequence of the initial presenting injury, co-morbidity or subsequent attempts at fixation, the biological environment is often compromised. Compounding this problem is a lack of consensus on the best approach to addressing nonunited tibia fractures, placing them at risk for multiple, and sometimes ill-informed attempts at nonunion repair. We present nine cases of recalcitrant tibial nonunions which had previously undergone 4 or more attempts at repair treated with a protocol using RIA graft, rh-BMP2 and intramedullary nail fixation. (C) 2010 Elsevier Ltd. All rights reserved.
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