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One-stage open cancellous bone grafting of infected fracture and nonunion
1Department of Traumatology, Beijing Jishuitan Hospital, the Fourth Affiliated Hospital of Beijing Medical University, Beijing.
Abstract:
Nineteen patients with either infected fractures or nonunions were managed by a one-stage protocol consisting of thorough debridement of the septic focus, followed by stabilization with an external fixator or a cast and fresh autogenous cancellous bone grafting; the wound was then left open. Nineteen fractures were healed and free of infection at an average of 3.5 years follow-up. Some considerations, including debridement, stabilization, bone grafting, and wound coverage, are discussed.