The Efficacy of Preserved Posterior Cortex in the Treatment of Infected Nonunion of the Tibia
Journal of the Korean Fracture Society
;
: 301-307, 2014.
Article
in Korean
| WPRIM
| ID: wpr-159223
ABSTRACT
PURPOSE:
We studied the efficacy of preserved posterior cortex connecting to adjacent muscle or periosteum during wide debridement in the treatment of infected nonunion of the tibia. MATERIALS ANDMETHODS:
From January 2001 to May 2011, 12 cases of infected nonunion of the tibia with segmental defect larger than 4 cm after wide debridement were selected. The selected cases were categorized according to two groups; group 1 with preserved posterior cortex in the segmental defect site - six cases, group 2 without posterior cortex - six cases. The results were compared by assessing the size of bone defect, the interval between wide debridement and bone reconstruction, bony union time, complications, and clinical results.RESULTS:
The mean length of bone defect of group 1 was 7.6 cm (range 4.3-11.0 cm) and that of group 2 was 6.4 cm (range 4.0-12.0 cm). The interval between wide debridement and bone reconstruction was 10.0 weeks (range 5-18 weeks) for group 1, and 12.1 weeks (range 0-24 weeks) for group 2. The time for bony union of group 1 was 6.2 months (range 5-7 months), and that of group 2 was 10.8 months (range 7-18 months). In group 2, there were two cases of fatigue fracture and two cases of docking site nonunion after distraction osteogenesis.CONCLUSION:
The preserved posterior cortex after wide debridement of infected nonunion of the tibia helps bony union and reduces the treatment period.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Periosteum
/
Tibia
/
Fractures, Stress
/
Osteogenesis, Distraction
/
Debridement
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2014
Type:
Article
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