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Treatment Options for the Nonunions with Critical Sized Bone Loss
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Jin Kak Kim, Soo Hyun Kim, Jae Woo Cho, Jong Keon Oh
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J Korean Fract Soc 2017;30(2):89-101. Published online April 30, 2017
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DOI: https://doi.org/10.12671/jkfs.2017.30.2.89
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 Abstract
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- The management of nonunion with severe bone loss is a challenging task to both surgeons and patients. It often requires prolonged and potentially painful treatments. Moreover, it also represents serious socioeconomic issues for patients. Inadequate fracture stability, disrupted biology, such as blood supply and soft tissue, as well as severe bone loss or presence of infection are possible reasons for nonunion. Several different treatment modalities are available, including nail dynamization, plate osteosynthesis, exchange nailing, and adjuvant alternatives, such as electrical or ultrasound stimulation. Autogenous bone graft remains the standard method to reconstruct small defects. Distraction osteogenesis and induced membrane techniques are contemporary strategies of choice for the reconstruction of larger bony defects. Herein, we attempt to describe the key techniques that may be employed in treating nonunion with severe bone loss.
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Citations
Citations to this article as recorded by  - Individualized herbal prescriptions for delayed union: A case series
Jiyoon Won, Youngjin Choi, Lyang Sook Yoon, Jun-Hwan Lee, Keunsun Choi, Hyangsook Lee
EXPLORE.2023; 19(2): 260. CrossRef
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Fractures of the Tarsal Bone
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Young Hwan Park, Hak Jun Kim, Soo Hyun Kim
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J Korean Fract Soc 2016;29(4):276-282. Published online October 31, 2016
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DOI: https://doi.org/10.12671/jkfs.2016.29.4.276
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Abstract
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- Fractures of the tarsal bone, such as the navicular, cuboid, and cuneiform, are very rare. These injuries can lead to serious walking difficulties due to pain and deformity of the foot with delayed diagnosis of tarsal bone fractures during an injury to multiple lower extremities. The diagnosis can be done on simple radiographs. Sometime weight bearing radiographs or stress radiographs may be needed for further evaluation. Computed tomography is the most widely available diagnostic tool. Navicular and cuneiform account for the medial column of the foot, whereas cuboid for the lateral column. The treatment of tarsal bone fractures is primarily conservative management, but operative treatment is recommended for intra-articular displacement, dislocation, or shortening of the medial or lateral column of the foot. The operative treatments include screw fixation, plate fixation, or external fixation. Complications include malunion, nonunion, posttraumatic arthritis, avascular necrosis, and deformity of the foot. Tarsal bone fracture has to be evaluated carefully to prevent serious complications.
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Citations
Citations to this article as recorded by - Effects of Acupuncture Treatment and Taping Therapy After Lisfranc Joint Injuries: A Case Report
Shin-Ae Kim, Su-Woo Kang, Eun-Ji Lee, Min-Kyung Kwak, Hui-Gyeong Jeong, Jae-Uk Sul
Journal of Acupuncture Research.2017; 34(4): 197. CrossRef
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