期刊
CLINICS IN PODIATRIC MEDICINE AND SURGERY
卷 31, 期 4, 页码 577-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cpm.2014.06.008
关键词
Induced membranes; RIA technique; Masquelet technique; Papineau technique; Ilizarov technique; Distraction osteogenesis
类别
Management of posttraumatic segmental bone loss as a result of severe open injuries of the lower extremity, high-energy closed injuries, and following failed initial treatment of complex fractures that develop pseudarthrosis continues to challenge reconstructive surgeons. There are numerous strategies for dealing with such injuries but the outcome is unpredictable. The procedure is rarely only one stage and complications frequently arise. In most cases, the reconstruction process is long and difficult and amputation must be part of the decision-making process. All traditional treatment strategies have advantages and major drawbacks. To overcome some limitations, biologic treatments have been developed based on specific pathways of bone physiology and healing.
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