Chronic Infected Tibia1 Nonunions With Bone Loss

Twenty-five patients with infected nonunions of the tibia and segmental bone loss were treated by one of two methods: resection and bone transport, or conventional treatment using less extensive debridement, external fixation, bone grafting, and soft-tissue coverage. The two groups were comparable except for gender distribution. Each group experienced similar rates of healing; eradication of infection; treatment time; final angulation; number of complications; and total number of surgical procedures. However, the final limb-length discrepancy was significantly less in the bone transport group.

[1]  J. L. Marsh,et al.  Dynamic external fixation for stabilization of nonunions. , 1992, Clinical orthopaedics and related research.

[2]  F. Dagher,et al.  Compound tibial fractures with bone loss treated by the Ilizarov technique. , 1991, The Journal of bone and joint surgery. British volume.

[3]  J. L. Marsh,et al.  Segmental Bone Transport with a Unilateral Fixator—A Report of Two Cases. , 1990 .

[4]  B. Sennett,et al.  Treatment of chronic osteomyelitis complicating nonunion and segmental defects of the tibia with open cancellous bone graft, posterolateral bone graft, and soft-tissue transfer. , 1990, The Journal of trauma.

[5]  G. Robb,et al.  Reconstruction of large diaphyseal defects, without free fibular transfer, in Grade-IIIB tibial fractures. , 1989, The Journal of bone and joint surgery. American volume.

[6]  J. Aronson,et al.  Local bone transportation for treatment of intercalary defects by the Ilizarov technique. Biomechanical and clinical considerations. , 1989, Clinical orthopaedics and related research.

[7]  D. Paley,et al.  Ilizarov treatment of tibial nonunions with bone loss. , 1989, Clinical orthopaedics and related research.

[8]  M. Zembo,et al.  Infected tibial pseudarthrosis. A 2-year follow up on patients treated by the Ilizarov technique. , 1989, Orthopedics.

[9]  C. Perry,et al.  The Ilizarov technique in the treatment of infected tibial nonunions. , 1989, Orthopaedic review.

[10]  A. Weiland,et al.  The efficacy of free tissue transfer in the treatment of osteomyelitis. , 1984, The Journal of bone and joint surgery. American volume.

[11]  S. Green,et al.  The open bone graft for septic nonunion. , 1983, Clinical orthopaedics and related research.

[12]  J. Daruwalla,et al.  Vascular pedicle graft of the ipsilateral fibula for non-union of the tibia with a large defect. An experimental and clinical study. , 1981, The Journal of bone and joint surgery. British volume.

[13]  A. Freeland,et al.  Posterior bone-grafting for infected ununited fracture of the tibia. , 1976, The Journal of bone and joint surgery. American volume.