Cargando…
Bone Transport for Limb Reconstruction Following Severe Tibial Fractures
A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular in...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821232/ https://www.ncbi.nlm.nih.gov/pubmed/27114814 http://dx.doi.org/10.4081/or.2016.6384 |
_version_ | 1782425547141283840 |
---|---|
author | Fürmetz, Julian Soo, Chris Behrendt, Wolf Thaller, Peter H. Siekmann, Holger Böhme, Jörg Josten, Christoph |
author_facet | Fürmetz, Julian Soo, Chris Behrendt, Wolf Thaller, Peter H. Siekmann, Holger Böhme, Jörg Josten, Christoph |
author_sort | Fürmetz, Julian |
collection | PubMed |
description | A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular interest was paid to the following criteria: injury type, comorbidities, development of osteitis and outcome of the different therapies. The reason for segmental resection was a second or third grade open tibia fractures in 24 cases and in one case an infection after plate osteosynthesis. Average age of the patients was 41 years (range 19 to 65 years) and average defect size 6.6 cm (range 3.0 to 13.4 cm). After a mean time of 113 days 23 tibial defects were reconstructed, so we calculated an average healing index of 44.2 days/cm. Two patients with major comorbidities needed a below knee amputation. The presence of osteitis led to a more complicated course of therapy. In the follow up patients with an Ilizarov frame had better results than patients with hybrid systems. Bone transport using external fixation is suitable for larger defect reconstruction. With significant comorbidities, however, a primary amputation or other methods must be considered. |
format | Online Article Text |
id | pubmed-4821232 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-48212322016-04-25 Bone Transport for Limb Reconstruction Following Severe Tibial Fractures Fürmetz, Julian Soo, Chris Behrendt, Wolf Thaller, Peter H. Siekmann, Holger Böhme, Jörg Josten, Christoph Orthop Rev (Pavia) Article A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular interest was paid to the following criteria: injury type, comorbidities, development of osteitis and outcome of the different therapies. The reason for segmental resection was a second or third grade open tibia fractures in 24 cases and in one case an infection after plate osteosynthesis. Average age of the patients was 41 years (range 19 to 65 years) and average defect size 6.6 cm (range 3.0 to 13.4 cm). After a mean time of 113 days 23 tibial defects were reconstructed, so we calculated an average healing index of 44.2 days/cm. Two patients with major comorbidities needed a below knee amputation. The presence of osteitis led to a more complicated course of therapy. In the follow up patients with an Ilizarov frame had better results than patients with hybrid systems. Bone transport using external fixation is suitable for larger defect reconstruction. With significant comorbidities, however, a primary amputation or other methods must be considered. PAGEPress Publications, Pavia, Italy 2016-03-31 /pmc/articles/PMC4821232/ /pubmed/27114814 http://dx.doi.org/10.4081/or.2016.6384 Text en ©Copyright J. Fürmetz et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Article Fürmetz, Julian Soo, Chris Behrendt, Wolf Thaller, Peter H. Siekmann, Holger Böhme, Jörg Josten, Christoph Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title | Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title_full | Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title_fullStr | Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title_full_unstemmed | Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title_short | Bone Transport for Limb Reconstruction Following Severe Tibial Fractures |
title_sort | bone transport for limb reconstruction following severe tibial fractures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821232/ https://www.ncbi.nlm.nih.gov/pubmed/27114814 http://dx.doi.org/10.4081/or.2016.6384 |
work_keys_str_mv | AT furmetzjulian bonetransportforlimbreconstructionfollowingseveretibialfractures AT soochris bonetransportforlimbreconstructionfollowingseveretibialfractures AT behrendtwolf bonetransportforlimbreconstructionfollowingseveretibialfractures AT thallerpeterh bonetransportforlimbreconstructionfollowingseveretibialfractures AT siekmannholger bonetransportforlimbreconstructionfollowingseveretibialfractures AT bohmejorg bonetransportforlimbreconstructionfollowingseveretibialfractures AT jostenchristoph bonetransportforlimbreconstructionfollowingseveretibialfractures |