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| 1 | Two-stage surgical treatment for septic non-union of the forearm显示文摘AIM To investigate the effectiveness of a two-stage surgical procedure for the treatment of septic forearm non-union.METHODS Septic non-unions are rare complications of forearm fractures. When they occur, they modify the relationship between forearm bones leading to a severe functional impairment. Treatment is challenging and surgery and antibiotic therapy are required to achieve infection resolution. It is even harder to obtain non-union healing with good functional results. The aim of this study is to present a two stages surgical treatment for septic forearm non-union with revision and temporary stabilization of the non-union until infection has cleared and subsequently perform a new synthesis with plate, opposite bone graft strut and intercalary graft. We retrospectively reviewed 18 patients with a mean age at the time of primary injury of 34.5 years(19-57 years) and a mean follow-up of 6 years(2-10 years). All patients presented an atrophic nonunion with a mean length of the bone defect of 1.8 cm(1.2-4 cm). Complications and clinical results after surgical treatment were recorded. RESULTS Mean time to resolution of the infectious process was 8.2 wk(range 4-20 wk) after the first surgery and specific antibiotic therapy. All the non-union healed with an average time of 5 mo(range 2-10 mo) after the second step surgery. Cultures on intraoperative samples werepositive in all cases. No major intraoperative complications occurred. Two patients developed minor complications and one needed a second surgical debridement for infection resolution. At the last follow-up functional results were excellent in 5(27.8%) patients, satisfactory in 10(55.5%) and unsatisfactory in 3(16.7%) patients. No activities of daily living(ADLs) limitations were reported by 12(66.6%) patients, slight by 3(16.6%) and severe limitation by 3(16.6%) patients. Mean visual analog scale at the last follow-up was 1(0-3).CONCLUSION The two-step technique has proven to be effective to achieve resolution of the infectious process and union with good functional results and low rate of complications. | Fabrizio Perna Federico Pilla Matteo Nanni Lisa Berti Giada Lullini Francesco Traina Cesare Faldini | 2017 | World Journal of Orthopedics2017，8，6： | 2 |
| 2 | Cast vs external fixation:a comparative study in elderly osteoporotic distal radial fracture patients 显示文摘 | Moroni A Vannini F Faldini C | 2004 | Scand J Surg2004，93，： | 1 |
| 3 | Surgical treatment of unstable intertrochanteric fractures by bipolar hip replacement or total hip replacement in elderly osteoporotic patients显示文摘 | Faldini G Grandi G Romagnoli M | | 0，，03： | 1 |
| 4 | Surgical treatment of un?stahle intertrochanteric fractures by bipolar hip replacement or total hip replacement in elderly osteoporotic patients显示文摘 | Faldini C Grandi G Romagnoli M | 2006 | J Orthop Trauma2006，7，： | 1 |
| 5 | Current classifi-cation systems for adult degenerative scoliosis 显示文摘 | Faldini C Di Martino A De Fine M | 2013 | Muscu-loskelet Surg2013，97，1： | 1 |
| 6 | One-stage metatarsal lengthe- ning by allograft interposition: a novel approach for congenital brachy- metatarsia显示文摘 | Giannini S Faldini C Pagkrati S | 2010 | Clin Orthop2010，7，： | 1 |
| 7 | Cast VS external fixation: A comparative study in elderly osteoporotic distal radial fracture patients 显示文摘 | Moroni A Vannini F Faldini C | 2004 | Scand J Surg2004，93，1： | 1 |
| 8 | Degenerative lumbar scoliosis:features and surgical treatment显示文摘 | Faldini C Pagkrati S Grandi G Digennaro V Faldini O Giannini S | 2006 | J Orthopaed Traumatol2006，7，： | 1 |
| 9 | Degenerative Lumbar Scolio- sis : Features and Surgical Treatment 显示文摘 | Faldini C Pagkrati S Grandi G | 2006 | J Orthop Traumatol2006，7，2： | 1 |
| 10 | A minimally invasive technique for surgical treatment of hallux valgus:simple,effective,rapid,inexpentive(SERI)显示文摘 | Giannini S Faldini C Nanni M | 2013 | Int Orthop2013，37，9： | 1 |
| 11 | Cervical disc hernia- tion and cervical spondylosis surgically treated by Cloward procedure: a 10-year-minimum follow-up study显示文摘 | Faldini C Leonetti D Nanni M | 2010 | J Orthop Traumatol2010，11，2： | 1 |
| 12 | Minimally invasive distal metatarsal osteotomy for surgical treatment of hallux valgus:clinical study of the first 1000 consecutive cases at mean 5 years follow up显示文摘 | Giannini S Faldini C | | 0，，05： | 1 |
| 13 | Surgical treatment of hallux valgus:a clinical prospective randomized study comparing linear distal metatarsal osteotomy with scarf osteotomy显示文摘 | Giannini S Faldini C | | 0，，05： | 1 |
| 14 | Cast vs e-xtemal fixation:a comparative study in elderlyosteoporotic distal radial fracture patients显示文摘 | MORONI A VANNINI F FALDINI C | 2004 | Scand J Surg2004，93，： | 1 |
| 15 | Risk factors for intraoperative femoral fractures during total hip replacement 显示文摘 | MORONI A FALDINI C PIRAS F | 2000 | AnnChir Gynaecol2000，89，2： | 1 |
| 16 | Degenerative Lumbar Scol iosis : Features and Surgical Treatment 显示文摘 | Faldini C Pagkrati S Grandi G | 2006 | J Orthop Trauma- tol2006，7，2： | 1 |
| 17 | Sagittal segmental alignment as predictor of adjacent-level degeneration after a cloward procedure显示文摘 | Faldini C Pagkrati S Leonetti D | 2011 | Clin Orthop Relat Res2011，469，3： | 1 |
| 18 | Cervical disc hernia- tion and cervical pondylosis surgically treated by Gloward procedure: a 10-year-minimum Traumatol, 2010, 11(2): 99-103 follow-up study显示文摘 | Faldini C Leonetti D Nanni M | 2010 | J OrthopTraumatol2010，11，2： | 1 |
| 19 | Alendronate improves screw fixation in osteoporotic bone显示文摘 | M0roni A Faldini C Hoang-Kim A | 2007 | J Bone Joint Surg Am2007，89，1： | 1 |
| 20 | Cervical disc hernia- tion and cervical pondylosis surgically treated by Gloward procedure: a 10-year-minimum Traumatol, 2010, 11(2): 99-103 follow-up study显示文摘 | Faldini C Leonetti D Nanni M | 2010 | J OrthopTraumatol2010，11，2： | 1 |
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