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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Osteocutaneous thermal necrosis of the leg salvaged by TSF/Ilizarov reconstruction. Report of 7 patients
International Orthopaedics, Volume 35, No. 1, Year 2011
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Description
Injudicious reaming of the tibial shaft can lead to extreme local hyperthermia, which in turn can result in the rare but catastrophic complication of segmental bone and soft tissue necrosis (osteocutaneous thermal necrosis). This is a retrospective study showing osteocutaneous thermal necrosis occurring after tibial intramedullary reaming salvaged by Ilizarov reconstruction in seven patients from the collective experience of four limb reconstruction centres. All patients were males, with an average age of 51.8 years (range, 30-70 years), who had undergone intramedullary reaming during the treatment of closed tibial fractures. In all patients, circumferential bone and variable contiguous soft tissue necrosis developed a few days after reaming. Bone and soft tissue reconstruction was subsequently performed using a circular external fixator (Ilizarov apparatus or Taylor spatial frame) a mean of four months after injury in six patients; in one case, reconstruction was undertaken four years after the original injury. Two complications (secondary tissue breakdown at a bone transport site; premature consolidation) necessitated cessation of bone transport at one of two bone transport levels in two patients. All patients eventually healed with a good functional result after an average of 11.5 months in the fixator (range, 10-13 months). © 2010 Springer-Verlag.
Authors & Co-Authors
Lovisetti, Giovanni
Italy, Como
General Hospital of Menaggio
Sala, Francesco
Italy, Milan
Asst Grande Ospedale Metropolitano Niguarda
Thabet, Ahmed M.
Egypt, Benha
Faculty of Medicine
Catagni, Maurizio Angelo
Italy, Lecco
Azienda Ospedaliera Ospedale Di Lecco
Singh, Saurabh
India, Varanasi
Banaras Hindu University
Statistics
Citations: 17
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1007/s00264-010-0952-5
ISSN:
03412695
Research Areas
Maternal And Child Health
Violence And Injury
Study Design
Cohort Study