title: [Repairing tibial post-traumatic osteomyelitis with bone and skin defect by Ilizarov technique at stage I].
abstract: OBJECTIVE
  To explore clinical effects of Ilizarov technique at stage I for repairing tibial post-traumatic osteomyelitis with bone and skin defect.
  
  
  METHODS
  From June 2010 to December 2013,44 patients with tibial post-traumatic osteomyelitis with bone and skin defect were treated with Ilizarov technique at stage I . Among them, there were 35 males and 9 females aged from 18 to 70 years old with an average of 42.5 years old. Bone defect ranged from 4 to 16 cm, skin defect ranged from 3 cm x 4 cm to 5 cm x 16 cm. The operation was performed debridement thoroughly, removed inflammatory bone section, osteotomy invasively, install circular external fixator by Ilizarow technique; screw nut were rotated at 1 week after operation, and prolonged 0.5 to 1.0 mm everyday. Wound surface, new born callus and bone healing were observed to evaluate clinical effects.
  
  
  RESULTS
  All patients were followed up from 11 to 36 months with an average of 18.5 months. Bone defect after osteotomy was from 6 to 22 cm with an average of 11.5 cm; the time of wound healing time ranged from 21 to 79 d with an average of 38 d; bone defect healing time was from 8 to 15 months with an average of 12.5 months. All patients were cured, no recurrent infection, refracture and shorten of calf deformity were occurred.
  
  
  CONCLUSIONS
  Repairing tibial post-traumatic osteomyelitis with bone and skin defect by llizarov technique at stage I has advantages of less trauma, low inflammatory recurrence rate, could avoid multiple complex operation, and receive definite curative effect.
authors.lastname: Jiang Shou-hai
authors.forename: Dong-xin
authors.initials: DX
authors.lastname: Qiu
authors.forename: Chang-hong
authors.initials: CH
authors.lastname: Dong
authors.forename: Ming-liang
authors.initials: ML
authors.lastname: Xu
authors.forename: Liang
authors.initials: L
authors.lastname: Hao
authors.forename: Ye
authors.initials: Y
authors.lastname: Zhang
authors.forename: Li-guo
authors.initials: LG
authors.lastname: Zhou
authors.forename: Jian-jun
authors.initials: JJ
authors.lastname: Xia
authors.forename: Ai-min
authors.initials: AM
authors.lastname: Peng
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D010027:Osteotomy; D013977:Tibia / Q000601:surgery*