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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046


GUTIERREZ BLANCO, Mario O; LEYVA BASTERRECHEA, Francisco  and  ALVAREZ LOPEZ, Alejandro. Delay in consolidation and pseudoarthrosis of the tibia. Rev Cub Med Mil [online]. 2009, vol.38, n.1. ISSN 0138-6557.

A literature review and an updating on the delay in consolidation of fractures and pseudoarthrosis occurring in open tibial shaft fractures was made to facilitate the study of these discussed complications, so much feared by orthopedists, since types of treatment are varied, recovery takes a long time and prognosis is unfavourable in most occasions. The concept, the main differences, incidence, causes, classification and surgical treatment methods in patients with bone lesions caused by trauma were explained. Factors depending on trauma, patient, the bone itself and the relations with the treatment were studied in depth. Regarding the procedures, advantages and disadvantages of each method were explained; for example, use of plaster casts, intramedullary fixation, AO plates, application of grafts and external fixation that can be associated to electrical stimulation. Thus, every physician may select the type of required treatment for a patient affected by these terrible complications.

Keywords : Delay of consolidation; diagnosis; pseudoarthrosis..

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