Staff Members - Benha University
Bone Transport for Postinfectious Segmental Tibial Bone Defects With a Combined Ilizarov/Taylor Spatial Frame Technique
• 2011
Publication Information
Authors
Francesco Sala, MD,* Ahmed M. Thabet, MD,† Fabio Castelli, MD,* Anna N. Miller, MD,‡
Dario Capitani, MD,* Giovanni Lovisetti, MD,* Tazio Talamonti, MD,*
and Saurabh Singh, MS, MCh§
Keywords
trifocal and bifocal bone transport, Taylor Spatial Frame,
postinfectious bone defects
Journal
Not Available
Publisher
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Volume
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Issue
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Pages
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publication.type
International
Paper Link
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Supplementary Materials
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Abstract
To assess and compare the results of trifocal (two-level
bone lengthening with compression at the nonunion site) and bifocal
(one-level bone lengthening with compression at the nonunion site)
bone transport using the Taylor Spatial Frame (TSF; Smith and
Nephew, Inc, Memphis, TN) for postinfectious segmental tibial bone
defects.
Design: Retrospective study of 12 patients with atrophic tibial
nonunions. These patients were treated with resection of the nonunion
followed by bone transport using the TSF for the segmental tibial bone
defects. All patients were treated by the same surgeon (F.S.).
Setting: Level I trauma center.
Patients/Participants: Twelve consecutive patients treated for
postinfectious segmental tibial bone defects between November 2004
and September 2007.
Intervention: All patients were treated using the TSF for a trifocal
or bifocal technique of bone transport along with associated soft
tissue reconstructive surgeries. All patients were additionally treated
with 45 days of culture-specific antibiotics.
Outcome Measurement: All patients were evaluated by the
guidelines of the Association for the Study of the Method of Ilizarov.
Results and Conclusion: All patients achieved complete union
and eradication of infection. The results were evaluated according to
Association for the Study of the Method of Ilizarov criteria: 83% were
excellent and 17% were good in terms of bony outcomes; functional
results were excellent in 50%, good in 42%, and fair in 8%.
Combined Ilizarov/TSF trifocal and bifocal techniques for the
treatment of segmental tibial bone defects achieve union without
malalignment of the mechanical axis.
bone lengthening with compression at the nonunion site) and bifocal
(one-level bone lengthening with compression at the nonunion site)
bone transport using the Taylor Spatial Frame (TSF; Smith and
Nephew, Inc, Memphis, TN) for postinfectious segmental tibial bone
defects.
Design: Retrospective study of 12 patients with atrophic tibial
nonunions. These patients were treated with resection of the nonunion
followed by bone transport using the TSF for the segmental tibial bone
defects. All patients were treated by the same surgeon (F.S.).
Setting: Level I trauma center.
Patients/Participants: Twelve consecutive patients treated for
postinfectious segmental tibial bone defects between November 2004
and September 2007.
Intervention: All patients were treated using the TSF for a trifocal
or bifocal technique of bone transport along with associated soft
tissue reconstructive surgeries. All patients were additionally treated
with 45 days of culture-specific antibiotics.
Outcome Measurement: All patients were evaluated by the
guidelines of the Association for the Study of the Method of Ilizarov.
Results and Conclusion: All patients achieved complete union
and eradication of infection. The results were evaluated according to
Association for the Study of the Method of Ilizarov criteria: 83% were
excellent and 17% were good in terms of bony outcomes; functional
results were excellent in 50%, good in 42%, and fair in 8%.
Combined Ilizarov/TSF trifocal and bifocal techniques for the
treatment of segmental tibial bone defects achieve union without
malalignment of the mechanical axis.