scholarly journals TWO-STAGE REOSTEOSYNTHESIS OF TIBIA IN THE PATIENT WITH FRACTURE NON-UNION COMPLICATED BY POSTOPERATIVE OSTEOMYELITIS

2018 ◽  
Vol 24 (1) ◽  
pp. 108-114 ◽  
Author(s):  
I. M. Efremov ◽  
F. Ya. Sibaev ◽  
G. A. Shevalaev
Keyword(s):  
Two Stage ◽  
Non Union ◽  
Postoperative Osteomyelitis

scholarly journals Symptomatic trochanteric non-union following total hip replacement treated with reattachment combined with two-stage revision surgery of the femoral stem

2019 ◽  
Vol 101 (6) ◽  
pp. e133-e135
Author(s):  
E Drampalos ◽  
L Bayam ◽  
J Oakley ◽  
M Hemmady ◽  
J Hodgkinson
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Posterior Approach ◽  
Femoral Stem ◽  
The Other ◽  
Artificial Joint ◽  
Two Stage ◽  
Non Union ◽  
Total Hip ◽  
Second Stage

We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with a Dall-Miles grip plate. After failure of this treatment, the patient had a two-stage revision. Trochanteric non-union is one of the well-described complications after total hip replacement. It is frequently difficult to treat, while potentially causing weakness, altered gait and instability of the artificial joint. We believe that reattachment of the trochanter combined with a staged revision of the femoral stem using a posterior approach for the second stage could be a valuable technique to be added to the orthopaedic armamentarium for recurrent and symptomatic trochanteric non-unions after primary total hip replacement, particularly after failure to treat with all the other techniques described in literature.

Two stage reconstruction of septic non-union of the humerus with the use of circular external fixation

Injury ◽  
2016 ◽  
Vol 47 (8) ◽  
pp. 1713-1718 ◽  
Author(s):  
Nando Ferreira ◽  
Leonard Charles Marais ◽  
Charles Serfontein
Keyword(s):  
External Fixation ◽  
Two Stage ◽  
Non Union

scholarly journals Two-stage surgical treatment for septic non-union of the forearm

2017 ◽  
Vol 8 (6) ◽  
pp. 471
Author(s):  
Fabrizio Perna ◽  
Federico Pilla ◽  
Matteo Nanni ◽  
Lisa Berti ◽  
Giada Lullini ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Two Stage ◽  
Non Union

scholarly journals Two-Stage Surgical Treatment for Non-Union of a Shortened Osteoporotic Femur

2013 ◽  
Vol 18 (1) ◽  
pp. 32-6
Author(s):  
Galal Zaki Said ◽  
Osama Ahmed Farouk ◽  
Hatem Galal Said
Keyword(s):  
Surgical Treatment ◽  
Two Stage ◽  
Non Union

scholarly journals Radiological evaluation of postoperative osteomyelitis in long bones: Which is the best tool?

2021 ◽  
pp. 175045892096134
Author(s):  
Andrew Kailin Zhou ◽  
Milind Girish ◽  
Azeem Thahir ◽  
Jiang An Lim ◽  
Xiaoyu Chen ◽  
...  
Keyword(s):  
Imaging Modality ◽  
Critical Role ◽  
Clinical Signs ◽  
Long Bone ◽  
Pathological Fractures ◽  
Non Union ◽  
Clinical Scenarios ◽  
Long Bone Osteomyelitis ◽  
Postoperative Osteomyelitis

Currently, definitive diagnosis of osteomyelitis involves a combination of clinical signs, symptoms, laboratory tests, imaging modalities and cultures from blood, joint or body fluid. Imaging plays a critical role in the osteomyelitis diagnosis. Each of these tests incurs an additional cost to the patient or healthcare system and their use varies according to the preference of the healthcare professional and the healthcare setup. Imaging plays a critical role in the diagnosis and management of postoperative long bone osteomyelitis, with the aim of reducing long-term complications such as non-union, amputation and pathological fractures. In this review, we discuss the key findings on different radiological modalities and correlate them with disease pathophysiology. Currently, magnetic resonance imaging is the best available imaging modality due to its sensitivity in detecting early signs of long bone osteomyelitis and high soft tissue resolution. Other modalities such as radio-nuclear medicine, computed tomography and ultrasound have been proved to be useful in different clinical scenarios as described in this narrative review.

CLINICAL RESULTS OF TREATING PATIENTS WITH COMPOUND LOWER LEG FRACTURES

2021 ◽  
pp. 92-97
Author(s):  
V.I. Davydkin ◽  
I.Yu. Ippolitov ◽  
A.I. Kistkin ◽  
S.A. Charyshkin
Keyword(s):  
Surgical Treatment ◽  
External Fixation ◽  
Clinical Results ◽  
Lower Leg ◽  
Fracture Type ◽  
Two Stage ◽  
Non Union ◽  
Leg Injuries ◽  
Lower Leg Fracture ◽  
Diaphyseal Fractures

Management of patients with open diaphyseal fractures of the lower leg remains an urgent problem in traumatology and orthopedics. The aim of the study is to improve the results of surgical treatment of patients with open lower leg injuries by means of disease management. Materials and methods. The study under consideration was both retrospective and prospective. It included 67 patients with open lower leg injuries. The patients were divided into 3 groups depending on the fracture type and treatment modality. Results. The two-stage modality of surgical treatment of open lower leg fractures (types 1 and 2) made it possible to significantly shorten the time frame compared to the period of treatment in patients with open lower leg fractures with installation of the external fixator. Active surgical modelling of the open diaphyseal fractures of the lower leg reduced the purulent complications from 60 % to 11 %. Conclusion. In the case of an open lower leg fracture (type 1) blocking internal fixation is desirable, whereas in the case of open lower leg fractures (types 2, 3A and 3B) external fixation is preferable. In patients with open injuries (types 2 and 3A) two-stage fixation of bone fragments using external fixation with subsequent transition to internal one can be suggested. Keywords: intramedullary rod, non-union, Ilizarov apparatus. Ведение больных с открытыми диафизарными переломами костей голени остается актуальной проблемой травматологии и ортопедии. Цель работы – улучшение результатов хирургического лечения пациентов с открытыми повреждениями голени путем оптимизации лечебной тактики. Материалы и методы. Исследование ретроспективное и проспективное. В работу включены 67 больных с открытыми повреждениями костей голени. Пациенты были разделены на 3 группы в зависимости от типа перелома и способа лечения. Результаты. Двухэтапная тактика оперативного лечения открытых переломов костей голени I и II типов позволила значительно сократить сроки лечения по сравнению со сроками лечения больных, у которых сращение открытого перелома костей голени протекало в стержневом аппарате наружной фиксации. Активная хирургическая тактика в отношении открытых переломов диафиза костей голени позволила сократить процент гнойных осложнений с 60 до 11. Выводы. При открытом повреждении голени I типа оптимальным является применение блокирующего интрамедуллярного остеосинтеза, а при открытых переломах II, III А и III B типов – стержневого аппарата наружной фиксации. У пациентов с открытыми повреждениями II и III А типов показана двухэтапная фиксация костных отломков с применением стержневых аппаратов наружной фиксации с последующим переходом на интрамедуллярный штифт. Ключевые слова: интрамедуллярный штифт, несращение, аппарат Илизарова.

scholarly journals Infected nonunion proximal humerus fracture: two-stage oncologic approach solution with reverse total shoulder reconstruction

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Khairul Nizam Siron ◽  
Goh Kian Liang ◽  
Mohd Ariff Sharifuddin ◽  
Ed Simor Khan Mor Japar Khan ◽  
Mohd Shahidan Nor Rahin ◽  
...  
Keyword(s):  
Proximal Humerus ◽  
Wide Resection ◽  
Cement Spacer ◽  
Two Stage ◽  
Infected Nonunion ◽  
Non Union ◽  
Eradication Of Infection ◽  
Staged Approach ◽  
Reverse Shoulder Replacement ◽  
Reverse Total Shoulder

Introduction: Infected non-union of proximal humerus after fixation is devastating consequence and remains challenging. Methods: The staged oncologic approach consists of wide resection and reconstruction ensures remissions of the infection. Results: We report a case of two-stage oncologic approach in a patient with infected non-union proximal humerus after fixation. In the first stage we have performed a wide resection and antibiotic cement spacer insertion. After complete eradication of infection, subsequent reconstruction of the shoulder using reverse shoulder replacement with modular humeral stem had been performed on purpose of restoring the acceptable joint functions. Conclusions: Reconstruction of the infected non-union of the proximal humerus is a challenging task, costly procedure that requires the use of the sophisticated limb reconstruction system. Staged approach incorporating the use oncologic wide resection to eradicate the infection with subsequent bony reconstruction ensure the optimum restoration of upper limb functions.

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