Infected tibial nonunion. Good results after open cancellous bone grafting in 37 cases.
We treated 37 infected tibial shaft nonunions by debridement followed by open autogenous cancellous bone grafting in a 2-stage procedure. Additional surgery was done in 21 fractures including second debridement before bone grafting and/or a second limited bone grafting and/or a split-thickness skin grafting. All fractures healed after an average of 11 (8-16) months. During 2 years follow-up there were no recurrences of the infection. Two cases of early refracture occurred, both healed following new bone grafting.
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D003646:Debridement / Q000379:methods; D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications*; D014182:Transplantation, Autologous