Ilizarov bone transport combined with antibiotic cement spacer for infected tibial nonunion

被引:2
|
作者
Peng, Jing [1 ]
Min, Li [1 ]
Xiang, Zhou [1 ]
Huang, Fuguo [1 ]
Tu, Chongqi [1 ]
Zhang, Hui [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Orthoped, Chengdu 610041, Sichuan, Peoples R China
来源
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | 2015年 / 8卷 / 06期
关键词
Ilizarov bone transport; bone defect; infected tibia nonunion; antibiotic cement; DOCKING SITE; LONG BONES; COMPLICATIONS; MANAGEMENT;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Purpose: To evaluate the curative effect of Ilizarov bone transport combined with antibiotic cement spacer for infected tibial nonunion with bone defect. Methods: We retrospectively reviewed the outcomes of 58 patients with infected tibial nonunion from January 2008 to March 2011 at our institution. Patients were treated with complete debridement, radical sequestrectomy, antibiotic cement spacer implantation, bone transport using the Ilizarov external fixator, and soft tissue reconstruction. Clinical efficacy was assessed using Paley's grading system and patient satisfaction at the last follow-up. Results: Follow-up ranged from 24 to 63 months (average, 31.6 months). Mean size of the tibial defect was 9.2 cm (range, 6-15 cm). The soft tissue defect was closed successfully in all cases. Patients eventually achieved union with a mean bone union index of 1.2 months/cm at an average of 10.6 months (range, 8-31 months). In terms of Paley grade, 30 patients had excellent results, 23 good, and 5 fair. Functional results were excellent in 28 patients, good in 18, and fair in 12. Thirty-five patients felt extremely satisfied, 18 satisfied, and 5 acceptable with the functional outcome. Complications included pin site infection in 18 cases, limb length discrepancy less than 1.5 cm in 10, knee stiffness in 5, equinus deformity in 4, infectious recurrence in 1 and pin breakage in 1. There was no refracture at the reconstruction site. Conclusion: Ilizarov bone transport combined with antibiotic cement spacer is a versatile and effective method for treatment of infected tibial nonunion.
引用
收藏
页码:10058 / 10065
页数:8
相关论文
共 50 条
  • [1] The treatment of infected tibial nonunion by bone transport using the Ilizarov external fixator and a systematic review of infected tibial nonunion treated by Ilizarov methods
    Yin, Peng
    Zhang, Qun
    Mao, Zhi
    Li, Tongtong
    Zhang, Lihai
    Tang, Peifu
    ACTA ORTHOPAEDICA BELGICA, 2014, 80 (03): : 426 - 435
  • [2] A Systematic Review and Meta-Analysis of Combined Antibiotic Spacer with Ilizarov Methods in the Treatment of Infected Nonunion of Tibia
    Deng, Zhibo
    Mu, Yuexi
    Sun, Xianding
    Xu, Yongqing
    Li, Fubing
    Yin, Liangjun
    BIOMED RESEARCH INTERNATIONAL, 2021, 2021
  • [3] Masquelet–Ilizarov technique for the management of bone loss post debridement of infected tibial nonunion
    Abdullah Khaled
    Osama El-Gebaly
    Mahmoud El-Rosasy
    International Orthopaedics, 2022, 46 : 1937 - 1944
  • [4] War-related infected tibial nonunion with bone and soft-tissue loss treated with bone transport using the Ilizarov method
    Marko Bumbaširević
    Slavko Tomić
    Aleksandar Lešić
    Ivan Milošević
    Henry Dushan E. Atkinson
    Archives of Orthopaedic and Trauma Surgery, 2010, 130 : 739 - 749
  • [5] War-related infected tibial nonunion with bone and soft-tissue loss treated with bone transport using the Ilizarov method
    Bumbasirevic, Marko
    Tomic, Slavko
    Lesic, Aleksandar
    Milosevic, Ivan
    Atkinson, Henry Dushan E.
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2010, 130 (06) : 739 - 749
  • [6] Masquelet-Ilizarov technique for the management of bone loss post debridement of infected tibial nonunion
    Khaled, Abdullah
    El-Gebaly, Osama
    El-Rosasy, Mahmoud
    INTERNATIONAL ORTHOPAEDICS, 2022, 46 (09) : 1937 - 1944
  • [7] The treatment of infected tibial nonunion with aggressive debridement and internal bone transport
    Atesalp, AS
    Komurcu, M
    Basbozkurt, M
    Kurklu, M
    MILITARY MEDICINE, 2002, 167 (12) : 978 - 981
  • [8] Temporary antibiotic cement-covered gamma nail spacer for an infected nonunion of the proximal femur
    Rodriguez, Hugo
    Ziran, Bruce H.
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (454) : 270 - 274
  • [9] Ilizarov bone transport for massive tibial bone defects
    Abdel-Aal, AM
    ORTHOPEDICS, 2006, 29 (01) : 70 - 74
  • [10] Ilizarov bone transport to treat infected nonunion of long bones: a multicenter retrospective cohort study
    Xie, Jiang
    Zhao, Guobin
    Yasheng, Tayierjiang
    Chen, Hongtao
    Amuti, Nuermaimaiti
    Maimaitirexiati, Muhetaer
    Yibulayinmu, Abulaitijiang
    Cao, Mingyu
    Yusufu, Aihemaitijiang
    JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2021, 49 (03)