Neglected long bone shaft fractures by osteoperiosteal decortication

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Résumé

In emerging countries, nonunion in the shaft of fractured long bones is common.
Patients and methods: In a 3-year long prospective average study, 50 patients (38 men, 12 women) with an age of 40.9 years (range 17–60) were treated for neglected 11 months (range diaphyseal nonunion an average of 6–48) after the fracture event. The femur was involved 14 times, tibia eight 22 times, humerus times and forearm bones six times. All of these patients had consulted bone initially with a traditional setter at the time of fracture. The surgical followed procedure consisted of osteoperiosteal decortication by repermeabilization of the medullary was used for the humerus, radius and ulna. Nonunion canal and then internal fixation. Compression plating treated of the middle-third of the femur and tibia was by intramedullary nailing and nonunion DCS screw-plate. of the proximal third of the femur with an inverted Patients were reviewed and 120.
Results: Bone union was obtained clinically and with X-rays on postoperative days 21, 45, 90 in under 90 days in the upper limb. limb and under 120 days in the lower No additional grafting was needed. There were only two cases of leg length differences.
Discussion: Osteoperiosteal decortication results, is a reliable technique that leads to predictable, satisfactory given the limited materials required to treat long bone nonunion in emerging countries.

Mots-clés

nonunion of neglected long bone shaft fractures