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Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis

BACKGROUND AND AIM: Maintenance of stability using external fixation devices is an important principle to ensure successful treatment of osteomyelitis (OM). In this study, we report our experience with femoral OM treated with acute compression and bone transport using the Orthofix limb reconstructio...

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Autores principales: Mohd Yusof, Nazri, Saleh, Ayman K, Abuomira, Ibrahim Elsayed Abdellatif A, Attallah, Abdehamid A, Elshal, Ehab Abdelftah, khames, Amr abdelhalem Amr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9700457/
https://www.ncbi.nlm.nih.gov/pubmed/36444242
http://dx.doi.org/10.2147/ORR.S383863
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author Mohd Yusof, Nazri
Saleh, Ayman K
Abuomira, Ibrahim Elsayed Abdellatif A
Attallah, Abdehamid A
Elshal, Ehab Abdelftah
khames, Amr abdelhalem Amr
author_facet Mohd Yusof, Nazri
Saleh, Ayman K
Abuomira, Ibrahim Elsayed Abdellatif A
Attallah, Abdehamid A
Elshal, Ehab Abdelftah
khames, Amr abdelhalem Amr
author_sort Mohd Yusof, Nazri
collection PubMed
description BACKGROUND AND AIM: Maintenance of stability using external fixation devices is an important principle to ensure successful treatment of osteomyelitis (OM). In this study, we report our experience with femoral OM treated with acute compression and bone transport using the Orthofix limb reconstruction system (LRS).  PATIENTS AND METHODS: This prospective study included 30 consecutive patients with femoral OM. LRS insertion and corticotomy were done according to the standard technique. Radiographic evaluation was performed every 2 weeks during the distraction phase and every 2–4 weeks during the consolidation phase. The clinical outcome measurements included union time, limb length discrepancy, additional operative procedures, refracture and infection. RESULTS: The present study included 30 patients with femoral OM. They comprised 27 males (90.0%) and 3 females (10.0%) with an age of 28.1 ± 15.6 years. All, except one, achieved union with a mean union time of 8.6 months (range 4–20 months). The mean union time for acute compression was 7.6 months (range 4–20 months) while for patients with bone transport it was 14.5 months (range 12–18 months). The mean limb length discrepancy was 1.8 cm (range 0–4 cm). At the end of the follow=up, two patients were not able to ambulate without support; one due to non-union and one due to paraplegia. CONCLUSION: The present study identified treatment of femoral OM using LRS as a feasible and effective technique with good outcomes. Reported complications could be adequately managed in most cases.
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spelling pubmed-97004572022-11-27 Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis Mohd Yusof, Nazri Saleh, Ayman K Abuomira, Ibrahim Elsayed Abdellatif A Attallah, Abdehamid A Elshal, Ehab Abdelftah khames, Amr abdelhalem Amr Orthop Res Rev Original Research BACKGROUND AND AIM: Maintenance of stability using external fixation devices is an important principle to ensure successful treatment of osteomyelitis (OM). In this study, we report our experience with femoral OM treated with acute compression and bone transport using the Orthofix limb reconstruction system (LRS).  PATIENTS AND METHODS: This prospective study included 30 consecutive patients with femoral OM. LRS insertion and corticotomy were done according to the standard technique. Radiographic evaluation was performed every 2 weeks during the distraction phase and every 2–4 weeks during the consolidation phase. The clinical outcome measurements included union time, limb length discrepancy, additional operative procedures, refracture and infection. RESULTS: The present study included 30 patients with femoral OM. They comprised 27 males (90.0%) and 3 females (10.0%) with an age of 28.1 ± 15.6 years. All, except one, achieved union with a mean union time of 8.6 months (range 4–20 months). The mean union time for acute compression was 7.6 months (range 4–20 months) while for patients with bone transport it was 14.5 months (range 12–18 months). The mean limb length discrepancy was 1.8 cm (range 0–4 cm). At the end of the follow=up, two patients were not able to ambulate without support; one due to non-union and one due to paraplegia. CONCLUSION: The present study identified treatment of femoral OM using LRS as a feasible and effective technique with good outcomes. Reported complications could be adequately managed in most cases. Dove 2022-11-22 /pmc/articles/PMC9700457/ /pubmed/36444242 http://dx.doi.org/10.2147/ORR.S383863 Text en © 2022 Mohd Yusof et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Mohd Yusof, Nazri
Saleh, Ayman K
Abuomira, Ibrahim Elsayed Abdellatif A
Attallah, Abdehamid A
Elshal, Ehab Abdelftah
khames, Amr abdelhalem Amr
Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title_full Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title_fullStr Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title_full_unstemmed Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title_short Mono-Lateral External Fixation for Treatment of Femoral Osteomyelitis
title_sort mono-lateral external fixation for treatment of femoral osteomyelitis
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9700457/
https://www.ncbi.nlm.nih.gov/pubmed/36444242
http://dx.doi.org/10.2147/ORR.S383863
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