title: Treatment of Bone Defects in War Wounds: Retrospective Study.
abstract: BACKGROUND
  Results of the treatment of open fractures primarily depend on the treatment of connected soft tissue injuries.
  
  
  OBJECTIVE
  The aim was to present the experience and methods gained during the treatment of diaphyseal bone defects as a consequence of gunshot fracture soft war trauma.
  
  
  METHODS
  The study consisted of 116 patients with the diaphyseal bone defect who were treated with the usage of primary and delayed autotransplantation of bones, transplants of the fibula and Ilizarov distraction osteogenesis.
  
  
  RESULTS
  The results of compensation of bone defect less than 4 cm and conducted by an early cortico-spongioplastics were as follows: good in 8 respondents (45%), satisfactory in 6 (34%) and poor in 4 respondents (21%). In cases of delayed cortico-spongioplastics, the above mentioned results were: good in 36 (41%) respondents, satisfactory in 24 (34%) and poor in 16 (25%) respondents. The results of compensation of bone defect greater than 4 cm with the usage of fibular transplant were as follows: good in 3 (38%) respondents, satisfactory in 3 (38%) and poor in 2 (24%), and with the usage of using the Ilizarov method, the results were as follows: good in 8 (57%) respondents, satisfactory in 3 (21.5%) and poor in 3(21.5%) respondents.
  
  
  CONCLUSIONS
  The results showed that, in cases of compensation of bone defects less than 4 cm, the advantage is given to the primary spongioplastics over the delayed one. In cases of compensation of bone defects greater than 4 cm, the advantage is given to the Ilizarov distraction osteogenesis when compared to the fibular transplant.
authors.affiliation: Clinic of Traumatology, University Hospital Clinical Center Banja Luka, Bosnia and Herzegovina.
authors.forename: Predrag
authors.initials: P
authors.lastname: Grubor
authors.affiliation: Urology Clinic, University Hospital Clinical Center Banja Luka, Bosnia and Herzegovina.
authors.forename: Snjezana
authors.initials: S
authors.lastname: Milicevic
authors.affiliation: Clinic of Traumatology, University Hospital Clinical Center Banja Luka, Bosnia and Herzegovina.
authors.forename: Milan
authors.initials: M
authors.lastname: Grubor
authors.affiliation: Department of Medical and Surgical Sciences and Neuroscience, Section of Orthopedics and Traumatology, University of Siena, University Hospital "Santa Maria alle Scotte", Siena, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Meccariello
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D018483:Diaphyses / Q000293:injuries*; D005260:Female; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D008875:Middle Aged; D019857:Osteogenesis, Distraction / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D014857:Warfare; D014948:Wounds, Gunshot / Q000601:surgery*; D055815:Young Adult
keywords: autotransplantation; bone defects; transplants of the fibula and Ilizarov