Acute shortening versus bone transport for the treatment of infected femur non-unions with bone defects

Sen C., Demirel M. C., Saglam Y., Balci H. İ., Eralp L., Kocaoglu M.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, cilt.50, sa.11, ss.2075-2083, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 50 Sayı: 11
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.injury.2019.08.021
  • Dergi Adı: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.2075-2083
  • Anahtar Kelimeler: Acute shortening, Bone transport, Infected non-unions of the femur, Bone defect, INTRAMEDULLARY NAIL, DISTRACTION OSTEOGENESIS, EXTERNAL FIXATOR, OSTEOMYELITIS, COMPLICATIONS, COMPRESSION, DEBRIDEMENT
  • İstanbul Üniversitesi Adresli: Evet

Özet

Background: The bone transport technique has been a well-known method in the treatment of osteomyelitis of the long bones with large segmental bone defects. However, one of the major drawbacks with this traditional technique is the long-lasting consolidation period, which may entail infectious and noninfectious complications. To overcome this drawback, several techniques were developed, one of which is acute shortening and re-lengthening. The aims of this study were: 1) to present our experience with a new modified technique of acute shortening and re-lengthening using a monolateral external fixator combined with a retrograde intramedullary nail, and 2) to compare its results with the classic Ilizarov bone transport method in the management of infected non-unions of the distal femur with bone loss.