Intramedullary tibia nailing with external fixation

Park, Sehan; Moon, Sang Won; Lee, Jaehyung; Kim, Ji Wan

doi:10.1007/s00068-020-01351-y

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…In bone transport, the addition of intramedullary nailing can keep the distracted bone segment stable and minimize EFT and loss of axial alignment. However, some scholars have reported that bending deformities of the distraction area may occur at the proximal tibial osteotomy site when treating distal tibial bone defects using EFOIN [13,17,18]. Hence, a plate-assisted bone transport technique was developed.…”

Section: Functional Resultsmentioning

confidence: 99%

Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail

Maimaiti,

Liu,

Yusufu

et al. 2024

BMC Musculoskelet Disord

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Background The purpose of the study was to assess and compare the clinical efficacy of bone transport with either circular or unilateral external fixators over an intramedullary nail in the treatment of tibial bone defects caused by infection. Methods Between May 2010 and January 2019, clinical and radiographic data were collected and analyzed for patients with bone defects caused by infection. Thirteen patients underwent bone transport using a unilateral external fixator over an intramedullary nail (Group A), while 12 patients were treated with a circular external fixator over an intramedullary nail (Group B). The bone and functional outcomes of both groups were assessed and compared using the Association for the Study and Application of the Method of the Ilizarov criteria, and postoperative complications were evaluated according to the Paley classification. Results A total of 25 patients were successfully treated with bone transport using external fixators over an intramedullary nail, with a mean follow-up time of 31.63 ± 5.88 months. There were no significant statistical differences in age, gender, previous surgery per patient, duration of infection, defect size, and follow-up time between Group A and Group B (P > 0.05). However, statistically significant differences were observed in operation time (187.13 ± 21.88 min vs. 255.76 ± 36.42 min, P = 0.002), intraoperative blood loss (39.26 ± 7.33 mL vs. 53.74 ± 10.69 mL, P < 0.001), external fixation time (2.02 ± 0.31 month vs. 2.57 ± 0.38 month, P = 0.045), external fixation index (0.27 ± 0.08 month/cm vs. 0.44 ± 0.09 month/cm, P = 0.042), and bone union time (8.37 ± 2.30 month vs. 9.07 ± 3.12, P = 0.032) between Group A and Group B. The excellent and good rate of bone and functional results were higher in Group A compared to Group B (76.9% vs. 75% and 84.6% vs. 58.3%). Statistically significant differences were observed in functional results (excellent/good/fair/poor, 5/6/2/0 vs. 2/5/4/1, P = 0.013) and complication per patient (0.38 vs. 1.16, P = 0.012) between Group A and Group B. Conclusions Bone transport using a combined technique of external fixators over an intramedullary nail proved to be an effective method in treating tibial bone defects caused by infection. In comparison to circular external fixators, bone transport utilizing a unilateral external fixator over an intramedullary nail resulted in less external fixation time, fewer complications, and better functional outcomes.

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Section: Functional Resultsmentioning

confidence: 99%

Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail

Maimaiti,

Liu,

Yusufu

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

Bone transport using a unilateral versus circular external fixator over an intramedullary nail in the treatment of tibial bone defect caused by infection: a retrospective comparative study

Maimaiti,

Liu,

Yusufu

et al. 2023

Preprint

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Background The purpose of the study was to compare the clinical efficacy of bone transport with either circular or unilateral external fixators over an intramedullary nail (EFOIN) in the treatment of tibial bone defects caused by infection. Methods Between May 2010 and January 2019, clinical and radiographic data were collected and analyzed for patients with bone defects caused by infection. Thirteen patients underwent bone transport using a unilateral external fixator over an intramedullary nail (Group A), while 12 patients were treated with a circular external fixator over an intramedullary nail (Group B). The bone and functional outcomes of both groups were assessed and compared using the Association for the Study and Application of the Method of the Ilizarov (ASAMI) criteria, and postoperative complications were evaluated according to the Paley classification. Results A total of 25 patients were successfully treated with bone transport using EFOIN, with a mean follow-up time of 31.63 ± 5.88 months. There were no significant statistical differences in age, gender, previous surgery per patient, duration of infection, DS, EFT, EFI, BUT, and follow-up time between Group A and Group B (P > 0.05). However, statistically significant differences were observed in operation time and intraoperative blood loss between the two groups (P < 0.05). The excellent and good rate of bone and functional results were higher in Group A compared to Group B (76.9% vs 75% and 84.6% vs 58.3%). Statistically significant differences were observed in functional results and complication per patient between the two groups (P < 0.05). Conclusions Bone transport using a combined technique of EFOIN proved to be an effective method in treating tibial bone defects caused by infection. In comparison to circular external fixators, bone transport utilizing a unilateral external fixator over an intramedullary nail resulted in fewer complications and better functional outcomes.

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Intramedullary tibia nailing with external fixation

Cited by 2 publications

References 25 publications

Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail

Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail

Bone transport using a unilateral versus circular external fixator over an intramedullary nail in the treatment of tibial bone defect caused by infection: a retrospective comparative study

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