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《Chinese Journal of Practical Hand Surgery》 2002-01
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The experimental study and clinical application in the treatment of problematic nonunion with vascularized periosteal and fascial flaps

FAN Qi shen,XU Lin,ZHOU Xiang ji,GUO De liang,WEI Hai wen (The 89the Hospital,Weifang,Shandong,261021 China)  
Objective To explore the clinical effect of vascularized periosteal and fascial flaps in the treatment of problematic nonunion.Methods Fifty four adult rabbits were induced nonunion of the femur and randomly divided into three groups.Group A:The fracture site were treated with vascularized periosteal flaps.Group B:The fracture site were treated with vascularized fascial flaps.Group C:The fracture site were treated with both vascularized periosteal and fascial flaps.Based on the experimental results,63 cases were applied in clinic.Results The fracture healing time of Group C was much earlier than Group A and B about 1~2 weeks,and the rate of fracture healing of Group C was much higher than Group A and B.In clinical application,63 cases were all followed up by X ray.A lot of callus were found two months after operation,and the fracture line fundamentally disappeared 3 5~4 months after operation.Conclusion Vascularized periosteal and fascial flaps was an effective and feasible method in the treatment of problematic nonunion.
【CateGory Index】: R687.3
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