Comparison of Treatment Outcomes of Infected Nonunion of the Tibia by Ilizarov Fixator according to Location of Nonunion and Reconstruction of Soft Tissue Defect
Journal of the Korean Fracture Society
;
: 57-63, 2010.
Article
in Korean
| WPRIM
| ID: wpr-123325
ABSTRACT
PURPOSE:
To study clinical results and complications in the treatment of infected nonunion of the tibia according to location of nonunion and reconstruction for soft tissue defect. MATERIALS ANDMETHODS:
36 cases of tibia infected nonunion which were treated with the llizarov included in this study. There were proximal 1/3 in 14, middle 1/3 in 10, and distal 1/3 in 11 cases. Coverage of the soft tissue were treated with the free flap in 8 cases as classified group A and non-free flap in 17 cases classified group B. We evaluated the healing index, complications and comparing the results of each treatment by the Paley method.RESULTS:
Bone union was achieved in all cases. The proximal nonunion showed better results than those in the middle and distal area; average healing index 35.6 days/cm (p=0.038), boneresults:
92.9% (p=0.025), functionalresult:
90.5% (p=0.03). Group B showed significantly better results as it showed average healing index 30.3 days/cm (p=0.015), boneresults:
85.7% (p=0.025), functionalresults:
90.5% (p=0.015).CONCLUSION:
The nonunion of proximal 1/3 showed better results than other sites. Soft tissue reconstruction with free flap that control infection more effectively, could be improved the treatment outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tibia
/
Free Tissue Flaps
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2010
Type:
Article
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