Classification of non-union: Need for a new scoring system?

被引:138
作者
Calori, Giorgio Maria [2 ]
Phillips, Mark [1 ]
Jeetle, Sharanpal [1 ]
Tagliabue, Lorenzo [2 ]
Giannoudis, P. V. [3 ]
机构
[1] Kings Coll Hosp London, Dept Trauma & Orthopaed, London, England
[2] Univ Milan, Pini Inst, Milan, Italy
[3] Univ Leeds, Leeds, W Yorkshire, England
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2008年 / 39卷
关键词
Non-union; Pseudarthrosis; Fracture; Classification; Scoring system;
D O I
10.1016/S0020-1383(08)70016-0
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
A new scoring system is proposed in order to assist surgeons with the complex analysis associated with non-union surgery. Patients with non-union are rarely easily compared with one another and this has frustrated research in this field. We have therefore attributed values to clinical features based on clinical experience and research evidence, so that patients of similar complexity can be compared with one another. When greater experience with this scoring system has been gained it wilt be further refined and validated. We propose that surgeons with a sub specialist interest in non-union surgery use this system in reporting results, and that non-specialist surgeons use it to inform their decision to treat the fracture themselves, or refer to a sub specialist. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:S59 / S63
页数:5
相关论文
共 26 条
[1]
NON-UNION OF FRACTURES OF THE DISTAL END OF THE HUMERUS [J].
ACKERMAN, G ;
JUPITER, JB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (01) :75-83
[2]
INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].
BAKER, SP ;
ONEILL, B ;
HADDON, W ;
LONG, WB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196
[3]
The accuracy of computed tomography for the diagnosis of tibial nonunion [J].
Bhattacharyya, T ;
Bouchard, KA ;
Phadke, A ;
Meigs, JB ;
Kassarjian, A ;
Salamipour, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (04) :692-697
[4]
Risk factors contributing to fracture non-unions [J].
Calori, G. M. ;
Albisetti, W. ;
Agus, A. ;
Iori, S. ;
Tagliabue, L. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 :S11-S18
[5]
Catagni MA, 1998, TREATMENT FRACTURES, V7, P90
[6]
Debridement and wound closure of open fractures: The impact of the time factor on infection rates [J].
Crowley, D. J. ;
Kanakaris, N. K. ;
Giannoudis, P. V. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 (08) :879-889
[7]
Femoral diaphyseal aseptic non-unions: Is there an ideal method of treatment? [J].
Crowley, Daniel J. ;
Kanakaris, Nikolaos K. ;
Giannoudis, Peter V. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 :S55-S63
[8]
ESTERHAI JL, 1984, ORTHOP CLIN N AM, V15, P125
[9]
Friedlaender GE, 2001, J BONE JOINT SURG AM, V83A, pS151
[10]
Fracture heating in osteoporotic fractures: Is it really different? A basic science perspective [J].
Giannoudis, Peter ;
Tzioupis, Christopher ;
Almalki, Talal ;
Buckley, Richard .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 :S90-S99