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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Bone transport for postinfectious segmental tibial bone defects with a combined Ilizarov/Taylor Spatial Frame technique
Journal of Orthopaedic Trauma, Volume 25, No. 3, Year 2011
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Description
Objective: To assess and compare the results of trifocal (two-level bone lengthening with compression at the nonunion site) and bifocal (one-level bone lengthening with compression at the nonunion site) bone transport using the Taylor Spatial Frame (TSF; Smith and Nephew, Inc, Memphis, TN) for postinfectious segmental tibial bone defects. Design: Retrospective study of 12 patients with atrophic tibial nonunions. These patients were treated with resection of the nonunion followed by bone transport using the TSF for the segmental tibial bone defects. All patients were treated by the same surgeon (F.S.). Setting: Level I trauma center. Patients/Participants: Twelve consecutive patients treated for postinfectious segmental tibial bone defects between November 2004 and September 2007. Intervention: All patients were treated using the TSF for a trifocal or bifocal technique of bone transport along with associated soft tissue reconstructive surgeries. All patients were additionally treated with 45 days of culture-specific antibiotics. Outcome Measurement: All patients were evaluated by the guidelines of the Association for the Study of the Method of Ilizarov. Results and Conclusion: All patients achieved complete union and eradication of infection. The results were evaluated according to Association for the Study of the Method of Ilizarov criteria: 83% were excellent and 17% were good in terms of bony outcomes; functional results were excellent in 50%, good in 42%, and fair in 8%. Combined Ilizarov/TSF trifocal and bifocal techniques for the treatment of segmental tibial bone defects achieve union without malalignment of the mechanical axis. © 2011 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Sala, Francesco
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Thabet, Ahmed M.
Egypt, Benha
Faculty of Medicine
Castelli, Fabio
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Miller, Anna N.
United States, New York
Hospital for Special Surgery - new York
Capitani, Dario
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Lovisetti, Giovanni
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Talamonti, Tazio
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Singh, Saurabh
India, Varanasi
Banaras Hindu University
Statistics
Citations: 74
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1097/BOT.0b013e3181e5e160
ISSN:
08905339
Study Design
Randomised Control Trial
Cohort Study