The treatment of infected non-union of the tibia by compression-distraction techniques using the Ilizarov external fixator

Hosny, Gamal Ahmed; Shawky, Mohamed

doi:10.1007/s002640050264

Cited by 48 publications

(51 citation statements)

References 12 publications

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“…Difficult or resistant infections usually require a radical débridement of the septic bone and soft tissue in addition to the application of stable fixation to enhance soft tissue healing and bone union [8,9]. Bone defects in this situation can be filled up either by acutely shortening the bone or gradually transporting a segment to fill in the defect.…”

Section: Introductionmentioning

confidence: 99%

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

Dhar¹,

Mir²,

Ahmed³

et al. 2007

International Orthopaedics (SICO

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The Ilizarov method has been studied extensively in the management of non-union of long bones. In most cases this involves filling of defects present primarily or after débridement by bone transport. Acute docking over gaps longer than 2 cm has not been adequately studied, however. The purpose of this paper is to report the efficacy of acute peg in hole docking as a bone graft-sparing modality in the management of infected non-union of long bones.

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Section: Introductionmentioning

confidence: 99%

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

Dhar¹,

Mir²,

Ahmed³

et al. 2007

International Orthopaedics (SICO

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“…Union was achieved in 92% of the patients which was more than that reported by Cattaneo R (3) , Maini L (7) , Hosny G (8) and Dendrinos GK (9) in their respective studies.…”

Section: Discussionmentioning

confidence: 51%

“…Maini L et al (7) in their series of 30 cases observed that 10% of cases required bone grafting at the docking site. Hosny G et al (8) in their study of 11 cases of infected non-union tibia didn't require any additional procedure to achieve union. Dendrinos GK, Kontos S, Lyritsis E (9) in their series of 28 patients observed that three patients (11 %) had a problem with union that was treated with augmentation with a bone graft.…”

Section: Discussionmentioning

confidence: 96%

Ilizarov Ring Fixator in the Management of Infected Nonunion of Tibia - A Clinical Study

Antony¹,

Jose²

2016

jemds

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BACKGROUNDInfected non-union of bones is a challenging problem. Professor G A Ilizarov from Russia developed a circular external skeletal fixator to attain union. Numerous studies have described its use in infected non-union management. However, very few studies were available on this from India.Aim of this study is to evaluate the functional outcome of infected non-union of tibia managed by Ilizarov technique.

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“…Full weight-bearing was allowed using a lower-leg brace. last years distraction osteogenesis as developed by Ilizarov has been used in these patients [1,[3][4][5]. The ring fixateur is not only able to stabilize the affected limb but a segment transport to reach the original length of the bone can be performed as well [4,5].…”

Section: Case Reportmentioning

confidence: 99%

“…In treating chronic osteomyelitis with sequester and posttraumatic defects stabilization of the limb can be achieved by applying an Ilizarov ring fixateur [3][4][5]. This method can be used for segment transportation as well.…”

Section: Introductionmentioning

confidence: 99%

Prevention of skin and soft tissue entrapment in tibial segment transportation

Vocke¹,

Schmid

1999

International Orthopaedics

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We report of a ten year old patient with soft tissue damage and bone defect of the tibia as a sequel of osteomyelitis. After excision and stabilization with an Ilizarov fixateur segment transportation was started. In order to avoid skin and soft tissue entrapment in the docking region, we used a metal cage as a space provider, which was shortened as segment transportation progressed. To our knowledge this simple method has not been described so far.Résumé Nous présentons le cas d'un enfant de dix ans, victime de mine, qui a développé une ostéomyélite sévè-re avec dégats importants des parties molles et défect osseux du tibia. Après excision et stabilisation avec un fixateur externe d'Ilizarov le transport d'un segment osseux a eté commencé. Pour éviter l'incarcération des parties molles au niveau de la zone de réunion osseuse, on a utilisé une cage métallique pour maintenir l'espace interfragmentaire. On a raccourcit la cage avec la progression du transport du segment. A notre connaissance cette méthode simple n'a pas eté décrite jusqu'à présent. IntroductionIn treating chronic osteomyelitis with sequester and posttraumatic defects stabilization of the limb can be achieved by applying an Ilizarov ring fixateur [3][4][5]. This method can be used for segment transportation as well. Little attention has been paid to the problem of how to preserve the space for the transported segment and how to avoid tissue entrapment in the docking region. To our knowledge no methods other than surgical excision of interfering tissue have been published to solve this problem. We report on a patient in which a metal cage usually used in spine surgery was inserted to avoid deep and large entrapment of the skin in the docking area. Case reportA ten year old African boy sustained an open tibial fracture with soft tissue damage in a landmine accident during the Angolan war. Six month after the accident the child was admitted to our department. The general condition as well as the local status was poor and a severe osteomyelitis with sequestration ( Fig. 1) had developed. A soft tissue defect (approximately 20×5cm) with bad smelling pus was apparent on the lower leg (Fig. 2). The complete cortical bone of the anterior tibia had disappeared. Infected soft tissue as well as the osteomyelitic bone and the sequester were removed and excessive debridement was carried out. The lower leg was stabilised with an Ilizarov ring fixateur. Antibiotic treatment was given parenterally.The segment transport with the Ilizarov fixateur was started after improvement of the condition. Using vessel loops we did skin banding in order to achieve some soft tissue coverage. We had been able to leave a small ventral skin bridge above the area of the removed tissue. This skin bridge dropped down and started to heal to the dorsal soft tissue leaving no tunnel for the transported segment to reach the distal bone fragment. The situation was endangered of skin entrapment in the docking area. To avoid this we inserted a cage (normally used in spine surgery) o...

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The treatment of infected non-union of the tibia by compression-distraction techniques using the Ilizarov external fixator

Cited by 48 publications

References 12 publications

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

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

Ilizarov Ring Fixator in the Management of Infected Nonunion of Tibia - A Clinical Study

Prevention of skin and soft tissue entrapment in tibial segment transportation

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