scholarly journals Segmental Bone Transport for Tibial Nonunion with Bone Loss: A Case Report

2005 ◽  
Vol 54 (4) ◽  
pp. 755-757
Author(s):  
Toru Matsugaki ◽  
Kazuhito Minamitani ◽  
Masahiro Shirahama
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Bone Transport ◽  
Segmental Bone Transport ◽  
Tibial Nonunion ◽  
Segmental Bone

scholarly journals Reconstruction of a Recurrent Mandibular Ameloblastoma Using Segmental Bone Transport Method: A Case Report

2009 ◽  
Vol 62 (6) ◽  
pp. 238-243 ◽  
Author(s):  
Yasushi Yanagida ◽  
Manabu Habu ◽  
Izumi Yoshioka ◽  
Kazuhiro Tominaga
Keyword(s):  
Case Report ◽  
Bone Transport ◽  
Segmental Bone Transport ◽  
Segmental Bone ◽  
Transport Method

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.

scholarly journals Regenerate augmentation with bone marrow concentrate after traumatic bone loss

2012 ◽  
Vol 3 (2) ◽  
pp. 14 ◽  
Author(s):  
Jan Gessmann ◽  
Manfred Köller ◽  
Holger Godry ◽  
Thomas Armin Schildhauer ◽  
Dominik Seybold
Keyword(s):  
Bone Marrow ◽  
Bone Loss ◽  
Concentration Factor ◽  
Bone Marrow Aspiration ◽  
Bone Transport ◽  
Nicotine Abuse ◽  
Number Of Patients ◽  
The Mean ◽  
Segmental Bone ◽  
Bony Consolidation

Distraction osteogenesis after post-traumatic segmental bone loss of the tibia is a complex and time-consuming procedure that is often complicated due to prolonged consolidation or complete insufficiency of the regenerate. The aim of this feasibility study was to investigate the potential of bone marrow aspiration concentrate (BMAC) for percutaneous regenerate augmentation to accelerate bony consolidation of the regenerate. Eight patients (age 22-64) with an average posttraumatic bone defect of 82.4 mm and concomitant risk factors (nicotine abuse, soft-tissue defects, obesity and/or circulatory disorders) were treated with a modified Ilizarov external frame using an intramedullary cable transportation system. At the end of the distraction phase, each patient was treated with a percutaneously injection of autologous BMAC into the centre of the regenerate. The concentration factor was analysed using flow cytometry. The mean follow up after frame removal was 10 (4-15) months. With a mean healing index (HI) of 36.9 d/cm, bony consolidation of the regenerate was achieved in all eight cases. The mean concentration factor of the bone marrow aspirate was 4.6 (SD 1.23). No further operations concerning the regenerate were needed and no adverse effects were observed with the BMAC procedure. This procedure can be used for augmentation of the regenerate in cases of segmental bone transport. Further studies with a larger number of patients and control groups are needed to evaluate a possible higher success rate and accelerating effects on regenerate healing.

scholarly journals Surgical management of critical femoral bone loss by bone transport over intramedullary nail by monorail system: a case report

2020 ◽  
Vol 6 (6) ◽  
pp. 1309
Author(s):  
Kuldeep Nahar ◽  
Nikita Nahar
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Intramedullary Nail ◽  
Road Traffic ◽  
Bone Transport ◽  
Significant Loss ◽  
System A ◽  
Vascular Insufficiency ◽  
Locking Nail

<p>Present case report is about a male patient who met with a road traffic accident sustained an open crush, contaminated, injury of lower end femur of right side with significant loss of lower thigh bone (8 cm). He had fracture of inter condylar femur with fracture upper end tibia and lower third tibia with impending vascular insufficiency of leg and foot. Operated after correction of anaemia by debridement, fixation of femur with plate and inter condylar screw. Upper end tibia and Lower half tibia were fixed with separate plates and fasciotomy of leg. After 2 months femoral plate was replaced with intramedullary locking nail and superadded with monorail fixator. Corticotomy at proximal femur for bone transportation. Bone gap was corrected within 4 months and bone grafting was done at distal docking site. Union achieved and fixator removed after 4 months of this. Patient showed good results till last follow up 28 months, having good range of motion of knee.so critical bone loss at femur was treated by distraction osteogenesis over intramedullary nail with monorail external fixator system.</p>

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