scholarly journals Bone transport through an induced membrane in the management of tibial bone defects resulting from chronic osteomyelitis

2015 ◽  
Vol 10 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Nando Ferreira ◽  
Leonard Charles Marais
Keyword(s):  
Chronic Osteomyelitis ◽  
Bone Defects ◽  
Bone Transport ◽  
Induced Membrane ◽  
Tibial Bone

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 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

Ilizarov bone transport versus fibular graft for reconstruction of tibial bone defects in children

2016 ◽  
Vol 25 (6) ◽  
pp. 556-560 ◽  
Author(s):  
Mostafa Abdelkhalek ◽  
Barakat El-Alfy ◽  
Ayman M. Ali
Keyword(s):  
Bone Defects ◽  
Bone Transport ◽  
Fibular Graft ◽  
Tibial Bone ◽  
Ilizarov Bone Transport

scholarly journals Combined use of the Ilizarov non-free bone plasty and Masquelet technique in patients with acquired bone defects and pseudarthrosis

2020 ◽  
Vol 26 (4) ◽  
pp. 532-538
Author(s):  
D.Yu. Borzunov ◽  
◽  
D.S. Mokhovikov ◽  
S.N. Kolchin ◽  
E.N. Gorbach ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Soft Tissues ◽  
Bone Defects ◽  
Bone Transport ◽  
Long Bone ◽  
Cement Spacer ◽  
Technical Problems ◽  
Induced Membrane ◽  
Masquelet Technique ◽  
Membrane Technique

Introduction The Masquelet induced membrane technique is effective in the management of acquired heterogeneous long bone defects and pseudarthrosis. The combination of the Masquelet technology and Ilizarov non-free bone grafting seems promising and reduces the risks of recurrence at long-term in patients with congenital pseudarthrosis. Purpose Presentation of new technological solutions that allow combining the advantages of the Ilizarov bone transport and Masquelet bone grafting in patients with acquired bone defects. Materials and methods Retrospective assessment of the results of bone reconstruction in 10 patients who were treated by a combination of Ilizarov and Masquelet bone grafting technologies to repair long bone defects after failures of previous treatment. Fragments of the biomembrane formed around the cement spacer temporarily replacing the tibial gap after resection bone defect or pseudarthrosis were examined in all patients. The studies were carried out using a Reichard sledge microtome, an AxioScope stereomicroscope and an AxioCam ICc 5 digital camera, a JSM- 840 scanning electron microscope and an INCA-200 Energy X-ray electron probe microanalyzer. Results and discussion The combined Masquelet technique and Ilizarov non-free bone plasty provide the conditions that are favorable for reparative processes of the transported fragments. After removal of the spacer, there is a tunnel formed in the interfragmental gap, the walls of which are made of the induced membrane. Bone transport is carried out without technical problems through the compromised tissues which are debrided at the time of distraction initiation, outside the scars. At the same time, there are low risks of inflammation around the transosseous elements; there is no danger of cutting and perforation of soft tissues by transported fragments. Conclusions Complete organotypic rearrangement of the distraction regenerate with the use of Ilizarov non-free bone plasty and the Masquelet technique excludes the possibility of deformities or fractures at the level of newly formed bone areas. Active distraction histogenesis ensures the closure of soft tissue defects without additional reconstructive plastic interventions. The revealed dependence of the induced membrane blood supply on the method of treatment previously used might be a criterion for predicting the treatment outcome in patients with acquired bone defects and pseudarthrosis.

scholarly journals Bone transport versus acute shortening for the management of infected tibial bone defects: A meta-analysis

2020 ◽  
Author(s):  
Hongjie Wen ◽  
Shouyan Zhu ◽  
Canzhang Li ◽  
Yongqing Xu
Keyword(s):  
Bone Grafting ◽  
Meta Analysis ◽  
Functional Results ◽  
Bone Defects ◽  
Bone Transport ◽  
Bone Union ◽  
Fixation Index ◽  
Cochrane Library ◽  
Tibial Bone ◽  
Acute Shortening

Abstract Background: The treatment for infected tibial bone defects can be a great challenge for the orthopaedic surgeon. This meta-analysis was conducted to compare the efficacy and safety between bone transport (BT) and the acute shortening technique (AST) in the treatment of infected tibial bone defects.Methods: A literature survey was conducted by searching the PubMed, Web of Science, Cochrane Library, and Embase databases together with the China National Knowledge Infrastructure (CNKI) and the Wanfang database for articles published up to 9 August 2019. The Newcastle-Ottawa scale (NOS) was adapted to evaluate the bias and risks in each eligible study. The data of the external fixation index (EFI), bone grafting, bone and functional results, complications, bone union time and characteristics of participants were extracted. RevMan v.5.3 was used to perform relevant statistical analyses. Relative risk (RR) was used for the binary variables and standard mean difference (SMD) for continuous variables. Each variable included its 95% confidence interval (CI).Results: Five studies, including a total of 199 patients, were included in the meta-analysis. Statistical significance was observed in the EFI (SMD = 0.63, 95% CI: 0.25, 1.01, P = 0.001) and bone grafting (RR = 0.26, 95%CI: 0.15, 0.46, P <0.00001); however, no significance was observed in bone union time (SMD = –0.02, 95% CI: –0.39, 0.35, P = 0.92), bone results (RR = 0.97, 95% CI: 0.91, 1.04, P = 0.41), functional results (RR = 0.96, 95% CI: 0.86, 1.08, P = 0.50) and complications (RR = 0.76, 95% CI: 0.41, 1.39, P = 0.37).Conclusions: AST is preferred from the aspect of minimising the treatment period, whereas BT is superior to AST for reducing bone grafting. Due to the limited number of trials, the meaning of this conclusion should be taken with caution for infected tibial bone defects.Trial registration: PROSPERO CRD42019133659

Bone Transport for Postinfectious Segmental Tibial Bone Defects With a Combined Ilizarov/Taylor Spatial Frame Technique

2011 ◽  
Vol 25 (3) ◽  
pp. 162-168 ◽  
Author(s):  
Francesco Sala ◽  
Ahmed M Thabet ◽  
Fabio Castelli ◽  
Anna N Miller ◽  
Dario Capitani ◽  
...  
Keyword(s):  
Bone Defects ◽  
Bone Transport ◽  
Taylor Spatial Frame ◽  
Tibial Bone ◽  
Spatial Frame

Immediate bone transport: a novel technique for the management of bone defects after chronic osteomyelitis in children

2017 ◽  
Vol 48 (1) ◽  
pp. 64-66
Author(s):  
James Alexander Cruickshank ◽  
Simon Matthew Graham ◽  
William J Harrison
Keyword(s):  
Chronic Osteomyelitis ◽  
Bone Defects ◽  
Bone Transport ◽  
Novel Technique

scholarly journals Radiological and clinical outcomes using induced membrane technique combined with bone marrow concentrate in the treatment of chronic osteomyelitis of immature patients

2021 ◽  
Vol 10 (1) ◽  
pp. 31-40
Author(s):  
Jie Shen ◽  
Dong Sun ◽  
Shengpeng Yu ◽  
Jingshu Fu ◽  
Xiaohua Wang ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Healing ◽  
Chronic Osteomyelitis ◽  
Young Patients ◽  
Bone Defects ◽  
Healing Time ◽  
Induced Membrane ◽  
Membrane Technique ◽  
Induced Membrane Technique ◽  
Large Bone

Aims Treatment of chronic osteomyelitis (COM) for young patients remains a challenge. Large bone deficiencies secondary to COM can be treated using induced membrane technique (IMT). However, it is unclear which type of bone graft is optimal. The goal of the study was to determine the clinical effectiveness of bone marrow concentrator modified allograft (BMCA) versus bone marrow aspirate mixed allograft (BMAA) for children with COM of long bones. Methods Between January 2013 and December 2017, 26 young patients with COM were enrolled. Different bone grafts were applied to repair bone defects secondary to IMT procedure for infection eradication. Group BMCA was administered BMCA while Group BMAA was given BMAA. The results of this case-control study were retrospectively analyzed. Results Patient infection in both groups was eradicated after IMT surgery. As for reconstruction surgery, no substantial changes in the operative period (p = 0.852), intraoperative blood loss (p = 0.573), or length of hospital stay (p = 0.362) were found between the two groups. All patients were monitored for 12 to 60 months. The median time to bone healing was 4.0 months (interquartile range (IQR) 3.0 to 5.0; range 3 to 7) and 5.0 months (IQR 4.0 to 7.0; range 3 to 10) in Groups BMCA and BMAA, respectively. The time to heal in Group BMCA versus Group BMAA was substantially lower (p = 0.024). Conclusion IMT with BMCA or BMAA may attain healing in large bone defects secondary to COM in children. The bone healing time was significantly shorter for BMCA, indicating that this could be considered as a new strategy for bone defect after COM treatment. Cite this article: Bone Joint Res 2021;10(1):31–40.

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