[Internal osteosynthesis in pseudarthrosis without inter-fracture tissue dissection]

Area of Science:

• Orthopedic surgery
• Bone healing research

Background:

• Non-union bone fractures present a significant clinical challenge.
• Internal osteosynthesis is a common surgical treatment modality.

Observation:

• This study evaluated 149 patients undergoing internal osteosynthesis with inter-fracture tissue preservation.
• The majority of cases involved tibia pseudarthrosis (72.5%), treated with plate fixation.
• Operations were performed when the risk of infection was minimal.

Findings:

• A high bone adhesion rate of 96.7% was achieved in the study group.
• Complications were infrequent, including osteomyelitis (1), skin necrosis (2), and fragment dislocation (2).
• In comparison, internal osteosynthesis with tissue dissection in 439 patients resulted in an 87.2% adhesion rate.

Implications:

• Internal osteosynthesis with preservation of inter-fracture tissues demonstrates superior efficacy in achieving bone union.
• This technique minimizes complications and improves patient outcomes for non-union fractures.
• Further research into optimizing tissue preservation during osteosynthesis is warranted.