Yanlong Zhang1,2, Yong Wang1,2, Jun Di1,2, Aqin Peng3,4. 1. Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China. 2. Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, Hebei, People's Republic of China. 3. Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China. pengaqin@126.com. 4. Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, Hebei, People's Republic of China. pengaqin@126.com.
Abstract
PURPOSE: The aim of this study was to evaluate the clinical and functional outcomes of patients with large post-traumatic tibial bone defects managed by double-level bone transport using the Ilizarov technique. METHODS: We retrospectively reviewed 16 patients of 39.1 years (range, 16.0-65.0 years). The bone defects averaged 10.9 ± 3.8 cm (range: 6.0 cm-20.0 cm) after radical resection and were managed by double-level bone transport. Bone and functional results were evaluated according to the ASAMI criteria. RESULTS: The mean duration of follow-up after frame removal was 29.5 ± 1.8 months (range, 12.0-36.0 months). All patients achieved complete union in both the regenerates and the docking site and eradication of infection. The mean bone transport time was 55.6 ± 23.7 days (range, 30.0-125.0 days). The mean external fixation time was 12.0 ± 3.9 months (range, 5.0-18.0 months), and the mean external fixation index was 1.1 ± 0.3 months/cm (rang, 0.8-2.0 months/cm). The bone results were excellent in ten patients and poor in six patients. The functional results were excellent in 12 patients and good in four patients. CONCLUSION: Double-level bone transport is a safe, reliable, and successful method for large post-traumatic tibial bone defects. Furthermore, this technique can reduce bone transport time, time in frame, and total treatment time in one stage.
PURPOSE: The aim of this study was to evaluate the clinical and functional outcomes of patients with large post-traumatic tibial bone defects managed by double-level bone transport using the Ilizarov technique. METHODS: We retrospectively reviewed 16 patients of 39.1 years (range, 16.0-65.0 years). The bone defects averaged 10.9 ± 3.8 cm (range: 6.0 cm-20.0 cm) after radical resection and were managed by double-level bone transport. Bone and functional results were evaluated according to the ASAMI criteria. RESULTS: The mean duration of follow-up after frame removal was 29.5 ± 1.8 months (range, 12.0-36.0 months). All patients achieved complete union in both the regenerates and the docking site and eradication of infection. The mean bone transport time was 55.6 ± 23.7 days (range, 30.0-125.0 days). The mean external fixation time was 12.0 ± 3.9 months (range, 5.0-18.0 months), and the mean external fixation index was 1.1 ± 0.3 months/cm (rang, 0.8-2.0 months/cm). The bone results were excellent in ten patients and poor in six patients. The functional results were excellent in 12 patients and good in four patients. CONCLUSION: Double-level bone transport is a safe, reliable, and successful method for large post-traumatic tibial bone defects. Furthermore, this technique can reduce bone transport time, time in frame, and total treatment time in one stage.
Entities:
Keywords:
Bone defects; Bone transport; External fixation; Ilizarov technique; Tibia
Authors: Giovanni Lovisetti; Francesco Sala; Anna N Miller; Ahmed M Thabet; Vincenzo Zottola; Dario Capitani Journal: Int Orthop Date: 2011-04-20 Impact factor: 3.075
Authors: J L Esterhai; B Sennett; H Gelb; R B Heppenstall; C T Brighton; A L Osterman; D LaRossa; H Gelman; G Goldstein Journal: J Trauma Date: 1990-01