2006
DOI: 10.2106/jbjs.e.01152
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Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail

Abstract: This combined method may prove to be an improvement on the classic techniques for the treatment of a nonunion of a long bone associated with chronic osteomyelitis, in terms of external fixation period and consolidation index. The earlier removal of the external fixator is associated with increased patient comfort, a decreased complication rate, and a convenient and rapid rehabilitation.

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Cited by 96 publications
(63 citation statements)
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“…Reviewing the literatures, most reports on the treatment of infected nonunions refer to the lower extremity, particularly the tibia [10-13]. Infected nonunion in the upper extremity is a rare event, especially in the forearm [1].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Reviewing the literatures, most reports on the treatment of infected nonunions refer to the lower extremity, particularly the tibia [10-13]. Infected nonunion in the upper extremity is a rare event, especially in the forearm [1].…”
Section: Discussionmentioning
confidence: 99%
“…Cortical bleeding, described as the so-called paprika sign, was accepted as an indication of vital tissue [10]. Wounds were rinsed with pulsed irrigation system and sterilized with iodine complex.…”
Section: Methodsmentioning
confidence: 99%
“…Gradual correction with a specialized frame is useful for large deformity correction, associated limb lengthening, bone transport to treat segmental defects, 9,12,20,22,23,26,36,37 and stiff hypertrophic nonunion repair. 8,10,12,13,15,16 Gradual correction uses the principle of distraction osteogenesis.…”
Section: Discussionmentioning
confidence: 99%
“…A locking nail is inserted after debridement and enables rapid bone transport 73. Reduction in axial deviation and external fixation time and improved patient comfort are the advantages.…”
Section: Noninvasive Modalitiesmentioning
confidence: 99%