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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer-Verlag

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DOI

10.1007/bf02862540

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1432-5195

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Delayed union of multifragmentary diaphyseal fract

Authors: Galal Z Said Osama Farouk Hatem G Z Said
Publish Date: 2008/03/07
Volume: 33, Issue: 2, Pages: 549-553
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Abstract

Despite recent developments in fracture treatment cases of nonunion after long bone fractures are still encountered This work aims at evaluating the active management of delayed union after the bridgeplate fixation of multifragmentary diaphyseal fractures by a limited surgical interference Nineteen patients were included All had revision surgery for delayed union of multifragmentary diaphyseal fractures after bridgeplate fixation The period between primary and revision surgery was 12–20 weeks Increasing stability was performed by adding more screws in all cases Interfragmentary compression was performed in 16 patients Axial compression of the fracture was applied in two patients while one patient had the plate exchanged for a longer one Bone grafting was added in nine patients Union was achieved in all patients 8–16 weeks after reoperation This work is a message for timely surgical interference in delayed union after bridgeplate fixation by a limited surgical procedure before complete failure of the fracture stabilisation or nonunionMalgré le développement des différents traitements un certain nombre de pseudarthroses sont encore rencontré dans les fractures des os longs des membres Le but de ce travail est d’évaluer la prise en charge de ces retards de consolidation après fixation par plaque de fractures diaphysaires multi fragmentaires 19 patients ont été inclus pour ce travail Ils ont bénéficié d’une reprise chirurgicale pour retard de consolidation après fixation par plaque Le temps moyen entre l’intervention primaire et la révision a été de 12 à 20 semaines Dans tous les cas il a été nécessaire d’augmenter la stabilité par l’addition de vis complémentaires La compression inter fragmentaire a été réalisée chez 16 patients une compression axiale chez 2 patients et un changement de plaque chez un patient Une greffe a été nécessaire chez 9 patients La consolidation a été totale chez tous les patients à 16 semaines après la réintervention Ce travail a pour but de donner une information concernant l’algorithme chirurgical lorsqu’il existe un défaut de consolidation après ostéosynthèse par plaque

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