Case 35: Periarticular Distal Tibial Infected Nonunion, Ankle Salvage with Bone Transport

2015 ◽  
pp. 247-254
Author(s):  
Mitchell Bernstein ◽  
S. Robert Rozbruch
Keyword(s):  
Bone Transport ◽  
Infected Nonunion

Bone transport osteogenesis for treatment of canine osteomyelitis

2010 ◽  
Vol 23 (02) ◽  
pp. 134-140 ◽  
Author(s):  
S. W. Petersen ◽  
L. M. Déjardin ◽  
D. Ting
Keyword(s):  
Bone Defects ◽  
Bone Transport ◽  
Infected Nonunion ◽  
Non Union ◽  
Post Surgery ◽  
Bone Segment ◽  
Extensive Debridement ◽  
Segmental Bone ◽  
Osseous Defects

SummaryBone transport osteogenesis, as described by Ilizarov, has been used to resolve segmental bone defects in both human and veterinary patients. These defects are created when a large osseous tumour, sequestrum, or non-union fracture is resected. This report documents two cases in which the principle of bone transport osteogenesis was applied by utilising the Ilizarov technique to bridge large osseous defects resulting from debridement of an infected nonunion fracture (case 1) and debridement of a sequestrum (case 2). Defects were treated by transporting either a complete or a hemi-circumferential bone segment. Both cases had resolution of osteomyelitis, satisfactory fracture union, and functional usage of the limb 39 weeks and 15 weeks post-surgery, respectively. Although manageable complications were encountered during the treatment of these cases, the long-term clinical outcome was eventually favorable. The authors believe that bone transport osteogenesis offers a valid restorative option in the treatment of bone defects resulting from extensive debridement and sequestrectomy.

Fragmental bone transport in conjunction with acute shortening followed by gradual lengthening for a failed infected nonunion of the tibia

2010 ◽  
Vol 15 (3) ◽  
pp. 420-424 ◽  
Author(s):  
Mitsuhiko Takahashi ◽  
Yoshiteru Kawasaki ◽  
Yoshito Matsui ◽  
Natuo Yasui
Keyword(s):  
Bone Transport ◽  
Infected Nonunion ◽  
Acute Shortening

scholarly journals Infected nonunion of tibia and femur treated by bone transport

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Peng Yin ◽  
Lihai Zhang ◽  
Tongtong Li ◽  
Licheng Zhang ◽  
Guoqi Wang ◽  
...  
Keyword(s):  
Bone Transport ◽  
Infected Nonunion

scholarly journals Quality of life and complications at the different stages of bone transport for treatment infected nonunion of the tibia

Medicine ◽  
2017 ◽  
Vol 96 (45) ◽  
pp. e8569 ◽  
Author(s):  
Hu Wang ◽  
Xing Wei ◽  
Ping Liu ◽  
Ya-Hui Fu ◽  
Peng-fei Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bone Transport ◽  
Infected Nonunion

scholarly journals Ilizarov bone transport to treat infected nonunion of long bones: a multicenter retrospective cohort study

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052110027
Author(s):  
Jiang Xie ◽  
Guobin Zhao ◽  
Tayierjiang Yasheng ◽  
Hongtao Chen ◽  
Nuermaimaiti Amuti ◽  
...  
Keyword(s):  
Bone Healing ◽  
Functional Assessment ◽  
Bone Transport ◽  
Functional Evaluation ◽  
Long Bones ◽  
Trauma Centers ◽  
Infected Nonunion ◽  
Bone Nonunion ◽  
Study Population ◽  
Ilizarov Bone Transport

Objective To examine the efficacy and safety of Ilizarov bone transport in the treatment of infected nonunion of long bones. Methods Patients who underwent Ilizarov bone transport for treatment of bone nonunion with chronic osteomyelitis in the three largest regional orthopedic trauma centers in China from July 2013 to July 2018 were retrospectively examined. Treatment results were evaluated with Paley’s criteria for bone healing and functional assessment. Results In total, 189 patients were treated during the study period. The study population comprised 135 male and 54 female patients with an average age of 37.5 years (range, 11–61 years). The patients were followed up for at least 24 months. According to Paley’s criteria for bone healing and functional assessment, the bone healing results were excellent in 115 (61%) patients, good in 31 (16%), fair in 21 (11%), and poor in 22 (12%). The functional evaluation results were excellent in 76 (40%) patients, good in 65 (34%), fair in 22 (11%), poor in 26 (14%). Conclusion Infected nonunion of long bones can be effectively and safely treated with Ilizarov bone transport.

scholarly journals Management of infected non-unions of long bones using limb reconstruction system (LRS) fixator

2017 ◽  
Vol 3 (2) ◽  
pp. 213 ◽  
Author(s):  
Satya Ranjan Patra ◽  
Dasarath Kisan ◽  
Divya Madharia ◽  
Naresh Kumar Panigrahi ◽  
Saswat Samant ◽  
...  
Keyword(s):  
Weight Bearing ◽  
Limb Lengthening ◽  
High Energy ◽  
Bone Transport ◽  
Functional Score ◽  
Infected Nonunion ◽  
Limb Reconstruction ◽  
Erroneous Decision ◽  
Pin Tract Infection ◽  
Flap Cover

<p class="abstract"><strong>Background:</strong> Due to increasing number of high-energy traumatic events, the incidence of complex and compound fractures are also in the rise. Such fractures are often exposed to various environmental contaminants, inadequate debridement and sometimes erroneous decision making leading to cases of infected nonunions. Eradication of infection in such cases and achieving union may sometimes pose serious challenge to orthopaedic surgeons. Presence of comminution, bone gap or deformity can seriously complicate the situation. No definite surgical technique has been found to be full proof in dealing with these infected nonunion cases. In this scenario the limb reconstruction system (LRS) fixator is emerging as a useful option for infected nonunions with deformity or gap nonunion<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Twenty seven cases of infected nonunions involving tibia (n=19), femur (n=7) and humerus (n=1) were treated by LRS fixators after debridement of the infected nonunion site. Flap cover procedure was done as per necessity. Bone gaps and limb length discrepancies were dealt with bone transport or limb lengthening by the LRS instrument. Weight-bearing and removal of fixator was decided according to the radiological evidence of healing.<strong></strong></p><p class="abstract"><strong>Results:</strong> All the nonunions and the regeneration sites healed uneventfully, although the union time was varied (range, 21-52 weeks). Commonest complication was pin-tract infection and pain. The mean lower extremity functional score (LEFS) was 60.3 out of 80<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> LRS fixator is an excellent tool for management of infected nonunions which is easy to apply, comfortable for the patient with minimum complications and predictable as well as reproducible outcomes<span lang="EN-IN">.</span></p>

Results of the Treatment of Infected Nonunions of the Lower Limbs Using the Ilizarov Method

2017 ◽  
Vol 19 (2) ◽  
pp. 111-125 ◽  
Author(s):  
Marek Dróżdż ◽  
Stanisław Rak ◽  
Paweł Bartosz ◽  
Jerzy Białecki ◽  
Wojciech Marczyński
Keyword(s):  
Soft Tissues ◽  
Bone Fractures ◽  
Good Condition ◽  
High Energy ◽  
Bone Transport ◽  
Lower Limbs ◽  
Bone Union ◽  
Long Bone ◽  
Ilizarov Method ◽  
Infected Nonunion

Background. Infected nonunion is a complex complication of the treatment of long bone fractures. An in creased incidence of injuries, including high energy injuries (often open ones), contributes to a higher incidence of nonunion. These primarily infected injuries cause osteomyelitis, which prevents bone union, resulting in an infected nonunion. The Ilizarov method meets the biological and biomechanical treatment requirements, opti mising the process of inflammation healing and producing bone union. Material and methods. A total of 54 patients were treated in 2000–2014 for nonunion in the lower limbs with the Ilizarov method, which was used after previous treatment had failed. The subjects underwent intra operative resection of the locus of infection, sequestrectomy and a Judet procedure, followed by the use of the Ilizarov apparatus and bone transport, depending on the defect. Results. Inflammation healed in 52 patients (96%) and bone union was achieved in 46 patients (86%). Good outcomes with healed inflammation and bone union were reported in 76% of the cases, fair outcomes with tem porary elimination of the inflammation and without bone union in 16%, and poor outcomes without inflam ma tion healing and without bone union in 7%. Conclusions. Treatment of infected nonunion can only be effective after eliminating endogenous inflamma tory foci, covering skin defects, ensuring a good condition of the skin and soft tissues, restoring normal blood supply to the bone fragments, and good biomechanical fixation of the fragments with dynamisation or compression. The Ilizarov method is a method of choice in the treatment of cases of infected nonunion where other treatments have failed.

scholarly journals Bone transport with a unilateral external fixator for femoral infected nonunion after intramedullary nailing fixation

Medicine ◽  
2019 ◽  
Vol 98 (20) ◽  
pp. e15612 ◽  
Author(s):  
Chunfeng Liu ◽  
Xianghong Zhang ◽  
Xiangsheng Zhang ◽  
Zhihong Li ◽  
Yaozeng Xu ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
External Fixator ◽  
Bone Transport ◽  
Infected Nonunion
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