Secondary intramedullary nailing after distraction osteogenesis

Lambiris, E.; Papadopoulos, A.; Karabasi, A.; Karageorgos, Athanasios D.

doi:10.1080/759369195

Cited by 2 publications

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“…Several scholars have applied different modified techniques in order to reduce the time in external fixator and related complications, such as bone transport over a nail, acute shortening and re-lengthening, bone transport and then nailing [3,[19][20][21][22][23][24][25]. However, the technique of bone transport over a nail has a great risk of infection recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Their research showed that this scheme could shorten the time in external fixator and solve the problem of docking site nonunion, but the patient should be informed of the risk of infection recurrence in advance. Lambiris et al found that it was a good choice to replace the external frame with an intramedullary nail when docking site nonunion, angular deformity of the transport segment or intolerance of the external fixator occurred [24]. A prospective study by Xiayimaierdan et al displayed that in the treatment of large segmental bone defects, bone graft and internal fixation after bone transport could promote healing, improve joint functions and reduce complications [25].…”

Section: Discussionmentioning

confidence: 99%

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Bone transport combined with bone graft and internal fixation versus simple bone transport in the treatment of large bone defects of lower limbs after trauma

Huang

Ren

et al. 2022

BMC Musculoskelet Disord

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Background Bone transport has been successfully applied for the management of large segmental bone defects. However, its main shortcoming is the long-lasting consolidation period, which may cause lots of related complications. To overcome this shortcoming, we developed bone transport combined with bone graft and internal fixation technique. The purpose of this study was to compare the clinical effects of this modified technique with simple bone transport in the treatment of large segmental bone defects of lower limbs after trauma. Methods Eighty-four patients with large segmental bone defects treated in our institution from January 2014 to January 2017 were selected for retrospective study. A total of 77 cases were completely followed. Among them, 35 patients were treated by bone transport combined with bone graft and internal fixation technique (Group A), and 42 by simple bone transport technique (Group B). Patients with open injuries were classified according to Gustilo-Anderson (GA) classification. The general data of Group A and B were compared. The time in external fixator, total cure time and operation times of two groups were recorded. Ennecking score was used to evaluate the recovery of limb functions while self-rating anxiety scale (SAS) for the postoperative anxiety evaluation. In addition, the total complication incidence was compared between Group A and B. Results There was no significant difference in demographic data between Group A and B (p > 0.05). The time in external fixator of Group A and B was (4.8 ± 1.6) and (18.2 ± 3.9) months, respectively (p < 0.05). The total cure time was (17.6 ± 2.2) and (20.4 ± 2.8) months in Group A and B (p < 0.05). The number of operations in Group A and B was (4.9 ± 1.2) and (4.8 ± 1.0) (p > 0.05). Ennecking score of Group A and B was 84.7 and 75.7% (p < 0.05). SAS score and total complication incidence in Group A were significantly lower than those in Group B (p < 0.05). Conclusions The clinical effects of bone transport combined with bone graft and internal fixation technique were better than that of simple bone transport technique, including shorter time in external fixator, shorter total cure time, lower anxiety score and better limb functions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bone transport combined with bone graft and internal fixation versus simple bone transport in the treatment of large bone defects of lower limbs after trauma

Huang

Ren

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

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Bone transport combined with sequential nailing technique for the management of large segmental bone defects after trauma

Wang,

Ma,

et al. 2024

Front. Surg.

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BackgroundBone transport technique is widely used for the management of large segmental bone defects. However, several reasons may prevent its successful completion, such as poor osteogenesis, docking site nonunion, severe chronic pain and psychological problems. We used sequential nailing technique to solve these problems. The objective of this study was to analyze the clinical effects of our modified technique for the management of large segmental bone defects after trauma.MethodsTwenty-three patients using bone transport combined with sequential nailing technique in our institution from June 2011 to June 2020 were included and analyzed retrospectively. There were 15 males and eight females. The age ranged from 19 to 64 years. There were eight cases suffering from basic medical diseases. The initial injury was open in 14 patients. Seven cases encountered femoral defects and 16 for tibia. The main reasons for sequential nailing technique were docking site nonunion (nine cases), poor osteogenesis (five cases), severe chronic pain (five cases) and psychological problems (four cases). The residual bone defects after removing the external fixator, operation plans, complications and follow-up time were recorded. Bone defect healing was evaluated by Paley score.ResultsThe mean residual bone defects were (2.9 ± 1.9) cm. The mean time in external fixator was (9.5 ± 3.4) months. The average follow-up time was (23 ± 3) months. With respect to complications, two cases suffered from nonunion again and were treated by bone graft with augmented plate fixation. No infection recurrence was found in these cases. The excellent and good rate of bone defect healing was 91.3%.ConclusionBone transport combined with sequential nailing technique could shorten the external fixation time, overcome the inconvenience of the external frame to patients, eliminate chronic pain and be easy for patients to accept. Patients using this modified technique achieved high satisfaction.

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Secondary intramedullary nailing after distraction osteogenesis

Cited by 2 publications

References 0 publications

Bone transport combined with bone graft and internal fixation versus simple bone transport in the treatment of large bone defects of lower limbs after trauma

Bone transport combined with bone graft and internal fixation versus simple bone transport in the treatment of large bone defects of lower limbs after trauma

Bone transport combined with sequential nailing technique for the management of large segmental bone defects after trauma

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