Efficacy comparison of double-level and single-level bone transport with Orthofix fixator for treatment of tibia fracture with massive bone defects

2020 ◽  
Vol 44 (5) ◽  
pp. 957-963
Author(s):  
Yang Li ◽  
Shi Shen ◽  
Qiaosu Xiao ◽  
Guan Wang ◽  
Huilin Yang ◽  
...  
Keyword(s):  
Bone Defects ◽  
Bone Transport ◽  
Tibia Fracture ◽  
Single Level ◽  
Massive Bone

scholarly journals Complications Associated with Bifocal Bone Transport Using Unilateral External Rail Fixator in the Reconstruction of Femur Defects Caused by Infection: Outcome Analysis of 76 Patients

2021 ◽  
Author(s):  
Cong Peng ◽  
Kai Liu ◽  
Qi Tian ◽  
Maimaitiaili Tusunniyazi ◽  
Weiqi Kong ◽  
...  
Keyword(s):  
External Fixator ◽  
Joint Stiffness ◽  
Bone Defects ◽  
Bone Transport ◽  
Delayed Union ◽  
Outcome Analysis ◽  
Femoral Bone ◽  
Single Level ◽  
Radical Debridement ◽  
Pin Tract Infection

Abstract Background: The purpose of this study is to evaluate the outcomes of single-level bone transport in the treatment of femoral bone defects after radical debridement, which were caused by infections.Methods: Clinical and radiographic data of patients with infected femoral nonunion treated with a unilateral external fixator (Orthofix limb reconstruction system, LRS) at our hospital from 2010 to 2019 were analyzed retrospectively. The Association for the Study and Application of the Method of Ilizarov (ASAMI) standard was applied to assess the bone and functional outcomes and postoperative complications evaluated by Paley classification. Results: Seventy-six cases of infected femoral bone defects (31 proximal, 19 intermediate, and 26 distal) were managed by single-level bone transport using a unilateral external fixator with a mean follow-up time of 30.8 (23 to 41) months. There were 58 men (76.3%) and 18 women (23.6%), with a mean age of 38.8 years (range, 23 – 60 years). The bone union was achieved in 76 cases with a mean time of 6.9 months (range, 5-8 months). Complications included 29 cases (38.1%) of pin tract infection, 7 cases (9.2%) of muscle contractures, 3 cases (7.9%) of joint stiffness, 13 cases (17.1%) of axial deviation, 2 cases (2.6%) of delayed union, one case (1.3%) of nonunion, and none (0%) of transport gap re-fracture. One patient (1.3%) was scheduled for knee arthroplasty when bone transport treatment ended.Conclusions: Bone transport in the reconstruction of femoral bone defects using unilateral external rail fixator had a satisfactory rate of bone healing and limb function recovery. Complications of distal femoral bone transport were more severe than other sites, but the complication rate was the least of the three. Complications of the proximal were comparable to the intermediate, and soft-tissue-related complications were more likely to occur in the intermediate transport.

scholarly journals Bone transport techniques in posttraumatic bone defects

2012 ◽  
Vol 98 (1) ◽  
pp. 103-108 ◽  
Author(s):  
S. Rigal ◽  
P. Merloz ◽  
D. Le Nen ◽  
H. Mathevon ◽  
A.-C. Masquelet
Keyword(s):  
Bone Defects ◽  
Bone Transport

Bone transport over an intramedullary nail for reconstruction of long bone defects in tibia

2007 ◽  
Vol 128 (8) ◽  
pp. 801-808 ◽  
Author(s):  
Chang-Wug Oh ◽  
Hae-Ryong Song ◽  
Jae-Young Roh ◽  
Jong-Keon Oh ◽  
Woo-Kie Min ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Bone Defects ◽  
Bone Transport ◽  
Long Bone

scholarly journals Treatment of diaphyseal forearm defects caused by infection using Ilizarov segmental bone transport technique

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yanshi Liu ◽  
Maimaiaili Yushan ◽  
Zhenhui Liu ◽  
Jialin Liu ◽  
Chuang Ma ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
External Fixator ◽  
Bone Defects ◽  
Bone Transport ◽  
Segmental Bone Transport ◽  
The Mean ◽  
Forearm Bone ◽  
Segmental Bone ◽  
Transport Technique

Abstract Background The Ilizarov segmental bone transport technique can be applied in the reconstruction of the bone defects with less invasive fashion and more versatility compared to other methods, while most studies were focused on the lower extremity. The purpose of this study was to evaluate the effectiveness of the Ilizarov segmental bone transport technique in the treatment of diaphyseal forearm bone defects caused by infection. Methods This study included 12 patients with diaphyseal forearm bone defects caused by infection, who underwent bone transport procedures using the monolateral external fixator at our institution from January 2010 to January 2018, including 10 males and 2 females with a mean age of 39 years (range 23–57 years). Patient’s demographic data and clinical outcomes at least two years follow-up after removing the external fixator were collected and retrospectively analyzed. The functional results were evaluated by the questionnaire of Disability of Arm, Shoulder and Hand (DASH) and the modified Mayo wrist score (MWS) at the final follow-up. Results There were 10 radii and 2 ulnae bone transport procedures collected. The average defect size was 5.1 cm (4-6.5 cm). All patients were successfully followed up with a mean period of 28.2 months (24 to 36 months) and achieved infection-free union. There was no recurrence of infection observed. The mean external fixation time was 232.6 days (182 to 276 days), and the mean external fixation index was 46.3 days/cm (40.9 to 61.8 days/cm). The mean DASH score was 30.6(18 to 49) preoperative, while 13.8 (5 to 26) at the final follow-up. The average modified MWS improved from 68.8 (55 to 80) pre-operatively to 83.8 (65 to 90) at the final follow-up. All the differences between the preoperative and final scores were statistically significant (p < 0.05). Almost all the patients achieved satisfactory clinical outcomes and were able to perform activities of daily living. Conclusions Ilizarov segmental bone transport technique is an alternative and effective method for the treatment of diaphyseal forearm bone defects caused by infection, and this method acquired satisfactory clinical outcomes.

Ilizarov bone transport using an intramedullary cable transportation system in the treatment of tibial bone defects

Injury ◽  
2020 ◽  
Author(s):  
Thomas Rosteius ◽  
Simon Pätzholz ◽  
Valentin Rausch ◽  
Sebastian Lotzien ◽  
Björn Behr ◽  
...  
Keyword(s):  
Bone Defects ◽  
Transportation System ◽  
Bone Transport ◽  
Tibial Bone ◽  
Ilizarov Bone Transport

scholarly journals Treatment of Tibial and Femoral Bone Defects With Bone Transport Over an Intramedullary Nail

2020 ◽  
Vol 34 (10) ◽  
pp. e353-e359
Author(s):  
Ali Bas ◽  
Fehmi Daldal ◽  
Levent Eralp ◽  
Mehmet Kocaoglu ◽  
Serkan Uludag ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Bone Defects ◽  
Bone Transport ◽  
Femoral Bone

scholarly journals Tibial bone defects treated by internal bone transport using the Ilizarov method

1998 ◽  
Vol 22 (5) ◽  
pp. 293-297 ◽  
Author(s):  
H.-R. Song ◽  
S.-H. Cho ◽  
K.-H. Koo ◽  
S.-T. Jeong ◽  
Y.-J. Park ◽  
...  
Keyword(s):  
Bone Defects ◽  
Bone Transport ◽  
Ilizarov Method ◽  
Tibial Bone

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.

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