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Treatment of infected non-unions with segmental defects with a rail fixation system
We conducted this study to evaluate the use of rail fixation system in infected gap non-union of femur and tibia as an alternative to the established Ilizarov circular fixator technique. Prospective study. The study was done in the Department of Orthopaedic surgery in a medical school and level I tr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360676/ https://www.ncbi.nlm.nih.gov/pubmed/28236034 http://dx.doi.org/10.1007/s11751-017-0278-6 |
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author | Mudiganty, Srikanth Daolagupu, Arup Kumar Sipani, Arun Kumar Das, Satyendra Kumar Dhar, Arijit Gogoi, Parag Jyoti |
author_facet | Mudiganty, Srikanth Daolagupu, Arup Kumar Sipani, Arun Kumar Das, Satyendra Kumar Dhar, Arijit Gogoi, Parag Jyoti |
author_sort | Mudiganty, Srikanth |
collection | PubMed |
description | We conducted this study to evaluate the use of rail fixation system in infected gap non-union of femur and tibia as an alternative to the established Ilizarov circular fixator technique. Prospective study. The study was done in the Department of Orthopaedic surgery in a medical school and level I trauma center to which the authors are/were affiliated. Between June 2010 and June 2015, 40 patients with infected gap non-union of femur and tibia were treated with the rail fixation system. Patients who were willing to undergo surgery and participate in the post-operative rehabilitation were included in the study. After radical debridement, the system was applied and corticotomy done. For closure of bone gap, acute docking and distraction was done in 18 cases and segmental bone transport in 22 cases. Early mobilization of patient was done along with aggressive physiotherapy. Bone and functional results were calculated according to ASAMI scoring system, and complications were classified according to Paley classification. The mean follow-up period was 22.56 months (range 8–44). Bone union with eradication of infection was achieved in all but 1 case (97.5%). Bone results were excellent in 57.5%, good 40%, fair 0% and poor in 2.5% cases, while functional result was excellent in 32.5%, good 65%, fair 0% and poor in 2.5% cases. The rail fixation system is an excellent alternative method to treat infected gap non-union of femur and tibia. It is simple, easy to use and patient-friendly. |
format | Online Article Text |
id | pubmed-5360676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-53606762017-04-04 Treatment of infected non-unions with segmental defects with a rail fixation system Mudiganty, Srikanth Daolagupu, Arup Kumar Sipani, Arun Kumar Das, Satyendra Kumar Dhar, Arijit Gogoi, Parag Jyoti Strategies Trauma Limb Reconstr Original Article We conducted this study to evaluate the use of rail fixation system in infected gap non-union of femur and tibia as an alternative to the established Ilizarov circular fixator technique. Prospective study. The study was done in the Department of Orthopaedic surgery in a medical school and level I trauma center to which the authors are/were affiliated. Between June 2010 and June 2015, 40 patients with infected gap non-union of femur and tibia were treated with the rail fixation system. Patients who were willing to undergo surgery and participate in the post-operative rehabilitation were included in the study. After radical debridement, the system was applied and corticotomy done. For closure of bone gap, acute docking and distraction was done in 18 cases and segmental bone transport in 22 cases. Early mobilization of patient was done along with aggressive physiotherapy. Bone and functional results were calculated according to ASAMI scoring system, and complications were classified according to Paley classification. The mean follow-up period was 22.56 months (range 8–44). Bone union with eradication of infection was achieved in all but 1 case (97.5%). Bone results were excellent in 57.5%, good 40%, fair 0% and poor in 2.5% cases, while functional result was excellent in 32.5%, good 65%, fair 0% and poor in 2.5% cases. The rail fixation system is an excellent alternative method to treat infected gap non-union of femur and tibia. It is simple, easy to use and patient-friendly. Springer Milan 2017-02-24 2017-04 /pmc/articles/PMC5360676/ /pubmed/28236034 http://dx.doi.org/10.1007/s11751-017-0278-6 Text en © The Author(s) 2017 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 Mudiganty, Srikanth Daolagupu, Arup Kumar Sipani, Arun Kumar Das, Satyendra Kumar Dhar, Arijit Gogoi, Parag Jyoti Treatment of infected non-unions with segmental defects with a rail fixation system |
title | Treatment of infected non-unions with segmental defects with a rail fixation system |
title_full | Treatment of infected non-unions with segmental defects with a rail fixation system |
title_fullStr | Treatment of infected non-unions with segmental defects with a rail fixation system |
title_full_unstemmed | Treatment of infected non-unions with segmental defects with a rail fixation system |
title_short | Treatment of infected non-unions with segmental defects with a rail fixation system |
title_sort | treatment of infected non-unions with segmental defects with a rail fixation system |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360676/ https://www.ncbi.nlm.nih.gov/pubmed/28236034 http://dx.doi.org/10.1007/s11751-017-0278-6 |
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