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Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame
This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I–TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients trea...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069202/ https://www.ncbi.nlm.nih.gov/pubmed/27660248 http://dx.doi.org/10.1007/s11751-016-0264-4 |
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author | Abuomira, Ibrahim Elsayed Abdellatif Sala, Francesco Elbatrawy, Yasser Lovisetti, Giovanni Alati, Salvatore Capitani, Dario |
author_facet | Abuomira, Ibrahim Elsayed Abdellatif Sala, Francesco Elbatrawy, Yasser Lovisetti, Giovanni Alati, Salvatore Capitani, Dario |
author_sort | Abuomira, Ibrahim Elsayed Abdellatif |
collection | PubMed |
description | This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I–TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I–TSF were compared with 25 patients treated with a conventional circular frame. In the I–TSF group, an average of 7.6 cm of bone was resected and the lengthening index (treatment time in months divided by lengthening amount in centimeters) was 1.97. In the conventional circular frame group, a mean of 6.5 cm was resected and the lengthening index was 2.1. Consolidation at the docking site and at the regenerate bone occurred in 49 (89 %) of 55 cases after the first procedure. No statistically significant difference was shown between the two groups. Superiority of one modality of treatment over the other cannot be concluded from our data. Application of combined Ilizarov and Taylor spatial frames for bone transport is useful for treatment of tibial nonunion with bone loss. Level of evidence Case series, Level III. |
format | Online Article Text |
id | pubmed-5069202 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-50692022016-11-01 Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame Abuomira, Ibrahim Elsayed Abdellatif Sala, Francesco Elbatrawy, Yasser Lovisetti, Giovanni Alati, Salvatore Capitani, Dario Strategies Trauma Limb Reconstr Original Article This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I–TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I–TSF were compared with 25 patients treated with a conventional circular frame. In the I–TSF group, an average of 7.6 cm of bone was resected and the lengthening index (treatment time in months divided by lengthening amount in centimeters) was 1.97. In the conventional circular frame group, a mean of 6.5 cm was resected and the lengthening index was 2.1. Consolidation at the docking site and at the regenerate bone occurred in 49 (89 %) of 55 cases after the first procedure. No statistically significant difference was shown between the two groups. Superiority of one modality of treatment over the other cannot be concluded from our data. Application of combined Ilizarov and Taylor spatial frames for bone transport is useful for treatment of tibial nonunion with bone loss. Level of evidence Case series, Level III. Springer Milan 2016-09-22 2016-11 /pmc/articles/PMC5069202/ /pubmed/27660248 http://dx.doi.org/10.1007/s11751-016-0264-4 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Abuomira, Ibrahim Elsayed Abdellatif Sala, Francesco Elbatrawy, Yasser Lovisetti, Giovanni Alati, Salvatore Capitani, Dario Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title | Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title_full | Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title_fullStr | Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title_full_unstemmed | Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title_short | Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame |
title_sort | distraction osteogenesis for tibial nonunion with bone loss using combined ilizarov and taylor spatial frames versus a conventional circular frame |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069202/ https://www.ncbi.nlm.nih.gov/pubmed/27660248 http://dx.doi.org/10.1007/s11751-016-0264-4 |
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