Chronic infected tibial nonunions with bone loss. Conventional techniques versus bone transport.
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.
Marsh
J L
JL
Prokuski
L
L
Biermann
J S
JS
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D016267:External Fixators; D005260:Female; D005597:Fractures, Open / Q000601:surgery; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D013514:Surgical Procedures, Operative / Q000379:methods*; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery*; D013997:Time Factors