Acute peg in hole docking in the management of infected non-union of long bones

Dhar, Shabir Ahmed; Mir, Mohammed Ramzan; Ahmed, Molvi Sajjad; Afzal, Suhail; Butt, Mohammed Farooq; Badoo, AR; Dar, Irshad Tabasum; Hussain, Anwar

doi:10.1007/s00264-007-0353-6

Cited by 19 publications

(16 citation statements)

References 22 publications

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“…Technically, bone transport is difficult to perform and requires careful monitoring of the bone pathway. It often requires additional surgeries to correct deviations in the coupling of the transported fragments or bone graft placement to increase contact at those sites 13, 14, 15, 16, 17, 18, 19, 20. Numerous complications have been described, including vascular changes that can result in amputation, similar to what was observed in the present sample.…”

Section: Discussionsupporting

confidence: 70%

Clinical evaluation of patients submitted to osteogenic distraction in the lower limb at a university hospital

Sampaio

Marçal

Reis

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the clinical characteristics from patients submitted to osteogenic distraction to correct bone gap at a university hospital.MethodsRetrospective transversal study, with a convenience sample, from 2000 to 2012, evaluating clinical aspects of patients treated, submitted to osteogenic distraction (bone transport) with Ilizarov's external fixation device. The chi-squared, Fisher's, and Mann–Whitney's U tests were used with a 5% level of significance (p < 0.05).Results33 patients were studied, of whom 28 men (84.8%). The more frequent age was from 21 to 40 years. Most patients were from the metropolitan region of the capital (57.6%). The leg was the most affected limb (75.8%), and the left side was the most affected (66.7%). The most common cause was infected pseudoarthrosis (75.8%). The most common bone transportation type was bifocal (75.8%). Mean previous surgery at others institutions were 2.62 (1.93 standard deviation), and mean surgeries after treatment were 1.89 (1.29 standard deviation). Ilizarov's external fixation device was used for 1.94 years (1.34 mean deviation), from one to six years. The most common complications were pin infection (57.6%), equinus (30.3%), deep infection (24.2%), and shortening (21.2%).ConclusionOsteogenic distraction for bone gaps were more frequent in young adults, men, in the leg, with bifocal transportation, after several previous surgeries, treated for a mean of two years, with many complications (infections were the most common).

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Section: Discussionsupporting

confidence: 70%

Clinical evaluation of patients submitted to osteogenic distraction in the lower limb at a university hospital

Sampaio

Marçal

Reis

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…As a result, the vascularised bone graft bypasses the process of creeping substitution, which characterises healing of avascular grafts, and involves graft necrosis, resorption, and new bone formation. The vascularised bone graft maintains its mass and architecture to a greater degree, is biomechanically stronger than an avascular fibular graft, and demonstrates enhanced healing potential and hypertrophy [3]. In addition, the vascularised bone graft provides an important source of vascularity in scarred and avascular recipient sites.…”

Section: Reconstruction Of Bone Defects By Free Vascularised Fibular mentioning

confidence: 99%

“…Despite modern advances in antibiotics and surgical techniques, the long bone defect complicated by osteomyelitis usually presents a challenging problem for the treating surgeon [3].…”

Section: Introductionmentioning

confidence: 99%

Free vascularised fibular grafting in the treatment of large skeletal defects due to osteomyelitis

Sun

Zhang

Jin

et al. 2009

International Orthopaedics (SICOT)

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Treatment of skeletal defects secondary to osteomyelitis is a challenging problem. The purpose of this study was to present our experience of the use of free vascularised fibular grafts to treat such defects. Ten patients with a mean age of 31 years (range 16-50 years) and a skeletal defect with a mean length of 9.5 cm (range 6-17 cm) were managed with a protocol which included radical debridement of the lesion and a vascularised fibular graft. The mean follow-up time was 26 months. Union of the graft occurred in all patients, at a mean of 4.5 months. No recurrence of osteomyelitis was observed. The mean time to full weight bearing was ten months, and all patients were pain-free and able to walk without supportive devices. A free vascularised fibular graft is a viable option for the management of large skeletal defects resulting from osteomyelitis.

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“…All 51 patients were followed up for 1 year and their records assessed at one year in terms of number of interventions, radiological union, function and complications. The bone results which were assessed according to the protocol laid down by the association for the study and application of the method of Ilizarov[ 8 , 9 ] An excellent result was defined as union, no infection, deformity of less than 7° and leg length inequality of less than 2.5 cm; a good result was defined as union and any two of the other three criteria; a fair result was defined as union and one of the other criteria; and a poor result was defined as non-union or refracture, or as union in the absence of any of the other three criteria. The functional result was calculated as per the Ilizarov criteria[ 9 ].…”

Section: Methodsmentioning

confidence: 99%

'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not exist

Dhar

Bhat

Mustafa

et al. 2008

J Trauma Manage Outcomes

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Background: Management of orthopaedic injuries in polytrauma cases continues to challenge the orthopaedic traumatologist. Mass disasters compound this challenge further due to delayed referral. Recently there has been increasing evidence showing that damage control surgery has advantages that are absent in the early total care modality. We studied the damage control modality in the management of polytrauma cases with orthopaedic injuries who had been referred to our hospital after more than 24 hours of sustaining their injuries in an earthquake. This study was conducted on 51 cases after reviewing their records and complete management one year after the trauma.

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Acute peg in hole docking in the management of infected non-union of long bones

Cited by 19 publications

References 22 publications

Clinical evaluation of patients submitted to osteogenic distraction in the lower limb at a university hospital

Clinical evaluation of patients submitted to osteogenic distraction in the lower limb at a university hospital

Free vascularised fibular grafting in the treatment of large skeletal defects due to osteomyelitis

'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not exist

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