title: Large segmental necrosis of the tibia with deep infection after open fracture.
abstract: Fifteen patients with large segmental necrosis of the tibia with deep infection, following open fractures, were treated according to the Burri-Papineau protocol. After radical debridement, the segmental bone defects averaged 8.4 (5-15) cm. Necrectomy, external fixation, and open cancellous grafting, in a two-stage procedure, gave infection control in 14 cases and bone healing in 12. Additional procedures, i.e., plating and posterolateral bone grafting, provided union in another 2 cases. One patient underwent amputation. Functional results in the other 14, after a follow-up averaging 4 years, were good in 9 cases, fair in 3, and poor in 2.
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D003646:Debridement; D005592:Fracture Fixation; D005597:Fractures, Open / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D010020:Osteonecrosis / Q000209:etiology / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery; D014946:Wound Infection / Q000209:etiology / Q000601:surgery*