-
Bone Transport Over the Intramedullary Nail for Defects of Long Bone
-
Jae Young Roh, Chang Wug Oh, Jong Keon Oh, Hee Soo Kyung, Byung Chul Park, Woo Kie Min, Joon Woo Kim, Chang Hyun Cho
-
J Korean Fract Soc 2008;21(1):37-44. Published online January 31, 2008
-
DOI: https://doi.org/10.12671/jkfs.2008.21.1.37
-
-
 Abstract
 PDF
- PURPOSE
To evaluate the results of bone transport using external fixator over an intramedullary nail for defects of long bone.
MATERIALS AND METHODS
We treated 14 cases of bone defect after chronic osteomyelitis or trauma of tibia (12 cases) and femur (2 cases) using this method. The mean age of index procedure was 46.9 years, and all of them had follow-up study for a mean of 3 years. After the corticotomy and insertion of intramedullary nail, bone transport was done by external fixators. Then, the segment was moved and bone graft was done at docking site.
RESULTS
The mean transported amount was 5.8 cm, and the external fixator was removed after 141 days. The mean external fixation index was 25.6 days/cm. Primary union of distraction and docking site was achieved in all, but one had failure in union of docking site. According to the Mekhail's functional criteria, there were 5 excellent, 6 good, and 3 fair results. Among 15 complications, there were 2 major complications with residual sequelae, and they were 1 recurred osteomyelitis and 1 flexion contracture of knee.
CONCLUSION
Bone transport using external fixator over an intramedullary nail, can successfully solve defects of long bone. Since this method can remove external fixators earlier than the conventional method, it has fewer complications and makes patients to return to daily life earlier.
-
Citations
Citations to this article as recorded by  - Treatment for Bone Defect of Open Tibial Fractures by Using Intramedullary Nail Fixation with Autogenous Iliac Bone Graft
Hyub Sakong, Ki Cheor Bae, Chul Hyun Cho, Kyung Jae Lee, Eun Seok Son, Du Han Kim
Journal of the Korean Fracture Society.2012; 25(4): 288. CrossRef
-
193
View
-
3
Download
-
1
Crossref
-
Treatment of Tibial Defect by Fibular Transposition using Ilizarov
-
Chung Soo Han, Yong Girl Rhee, Chang Hyun Cho, Moo Song Park, Dong Jun Shin
-
J Korean Soc Fract 1999;12(4):943-947. Published online October 31, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.4.943
-
-
Abstract
- Treatment of large segmental defect of tibia is difficult because of associated infection, shortening of limb, nonunion and soft tissue reconstruction. There has been a few options for the reconstruction of segmental tibial defect including vascularized or nonvascularized fibular graft, vascularized iliac bone graft, compression-distraction osteosynthesis and allograft. Tibialization of the ipsilateral fibula for 5 patients who had large tibial defect was successfully achieved by fibular transposition using Ilizarov apparatus at our hosipital . The average defect of tibia was 10.4cm in length. The average time of Ilizarov fixation was 10.3 months. Although one patient required bone grafts, most of them achieved good bony union. The clinical and radiological features and their results were also addressed. Fibular transposition using Ilizarov may be a satisfactory method of treatment for the large segmental tibial defect associated with severe soft tissue injury or vascular compromise.
|
E-submission
KFS
