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《The Journal of Bone and Joint Injury》 2001-06
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Recognization of the Causes of Iatrogenic Nonunion

Liu Yunpeng,Jiang Junjie.Department of Orthopaedic Surgery,Yantaishan Hospital,Yantai 264001  
Objective To investigate the cause of iatrogenic nonunion.Methods The authors reviewed sixty two nonunion cases(86.1 percent) out of total seventy two ones, synthetically analyzed the X ray films, type of the fractures, techniques of operation and interfixators.Results Fifty seven cases (ninty two percent) were due to the postoperative unstability led by improper interfixators, incorrect operative techniques and that the interfixators did not tally with the biomechanism for the operators knowing little about the bone biomechnism.Eighteen cases (29 percent) were resulted from being short of understanding of the principle of biological fixation. Fourty cases (sixty five point five percents) were because of lack of correct guidance of postoperative rehabilitation.Conclusion The authors consider that keys to prevent the iatrogenic ninunion are to follow the principle of internal fixation in early management of fractures and give the correct guidance of postopreative rehabilitation.
【CateGory Index】: R683
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