title: Combined use of Ilizarov external fixation and Papineau technique for septic pseudoarthrosis of the distal tibia in a patient with diabetes mellitus.
abstract: The surgical treatment of open pilon fractures has a high complication rate especially in diabetic patients. In this article, we present a case of an infected tibial non-union after an open reduction and internal fixation in a diabetic patient, treated with Ilizarov external fixation combined with Papineau technique. Combined use of external fixation and Papineau technique can provide an alternative option for the treatment of septic pseudoarthrosis of the distal tibia.
authors.affiliation: 4th Department of Trauma & Orthopaedics, KAT Hospital, Athens, Greece.
authors.forename: Stefanos D
authors.initials: SD
authors.lastname: Koutsostathis
authors.affiliation: 4th Department of Trauma & Orthopaedics, KAT Hospital, Athens, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Lepetsos
authors.affiliation: 3rd Orthopaedic Department, University of Athens Medical School, KAT Hospital, Athens, Greece.
authors.forename: Vasilios D
authors.initials: VD
authors.lastname: Polyzois
authors.affiliation: 3rd Orthopaedic Department, University of Athens Medical School, KAT Hospital, Athens, Greece.
authors.forename: Spyros G
authors.initials: SG
authors.lastname: Pneumaticos
authors.affiliation: 4th Department of Trauma & Orthopaedics, KAT Hospital, Athens, Greece.
authors.forename: George A
authors.initials: GA
authors.lastname: Macheras
keywords: Ilizarov; Papineau technique; external fixation; infection; non-union; tibia