Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting

Autor: Sun, Jun‐ying; Hao, Si‐chun; Sun, Rong‐bin; Yang, Yu‐sheng
Sprache: Englisch
Veröffentlicht: 2009
Quelle: PubMed Central (PMC)
Online Zugang: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734623/
http://www.ncbi.nlm.nih.gov/pubmed/22009776
http://dx.doi.org/10.1111/j.1757-7861.2008.00004.x
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734623/
https://doi.org/10.1111/j.1757-7861.2008.00004.x
Erfassungsnummer: ftpubmed:oai:pubmedcentral.nih.gov:6734623
id ftpubmed:oai:pubmedcentral.nih.gov:6734623
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url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734623/
http://www.ncbi.nlm.nih.gov/pubmed/22009776
http://dx.doi.org/10.1111/j.1757-7861.2008.00004.x
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734623/
https://doi.org/10.1111/j.1757-7861.2008.00004.x
url-type primary
primary
primary
pmc
info
spelling Original Articles
Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting
publishDate 2009
publishDate_facet 2009
baseCollectionName PubMed Central (PMC)
baseCountry us
title Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting
spellingShingle Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting
title_short Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting
title_sort Treatment of high‐energy tibial shaft fractures with internal fixation and early prophylactic NovaBone grafting
author2 Sun, Jun‐ying
Hao, Si‐chun
Sun, Rong‐bin
Yang, Yu‐sheng
author_facet Sun, Jun‐ying
Hao, Si‐chun
Sun, Rong‐bin
Yang, Yu‐sheng
author2-role Autor
Autor
Autor
Autor
abstract Objective: To evaluate the safety and efficacy of early NovaBone grafting in accelerating healing of high‐energy tibial shaft fractures. Methods: In a prospective, randomized, controlled study 78 patients with open or closed tibial shaft fractures were treated with reamed interlocking nails, combined with NovaBone grafting. Forty patients were randomly assigned to the experimental group (with NovaBone grafting at fracture site), and 38 to the control group (without NovaBone grafting). Results: All patients were followed up for an average of 8 months (range 6–18 months). The average fracture healing time was 12 weeks (range 8–16 weeks) in the experimental group, and 19 weeks (range 12–36 weeks) in the control group (P < 0.01). No delayed union or nonunion was found in the experimental group, but four cases (10.5%) in the control group were found to heal spontaneously between 7 and 8 months. When the data were analyzed at week 12 and week 26 according to the criteria of Johner and Wruhs, 88% and 100% of the cases in the experimental group were rated as excellent and good respectively, but in the control group, 50% and 89% were rated as excellent and good respectively, these being significant differences (P < 0.05). Conclusion: Internal fixation supplemented with early prophylactic NovaBone grafting of high‐energy tibial shaft fractures is a safe and effective treatment which accelerates fracture healing.
abstract_type general
abstract_lang eng
language eng
publisher Blackwell Publishing Asia
_version_ 1793496224164216832
score 13,558261