Internal Bone Transport in the Management of Tibial Bone Defects.
10.12671/jkfs.2005.18.1.36
- Author:
Chang Wug OH
1
;
Woo Kie MIN
;
Hee Soo KYUNG
;
Il Hyung PARK
;
In Ho JEON
;
Byung Chul PARK
;
Poong Taek KIM
;
Young Heon SOHN
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Kyungpook National University Daegu, Korea. cwoh@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Tibia;
Bone defect;
Ilizarov;
Internal bone transport
- MeSH:
External Fixators;
Follow-Up Studies;
Humans;
Leg;
Retrospective Studies;
Tibia
- From:Journal of the Korean Fracture Society
2005;18(1):36-42
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To retrospectively review the results of internal bone transport in the management of tibial bone defect using ilizarov fixator. MATERIALS AND METHODS: We treated 39 cases of tibial bone defect (16 of traumatic bone loss, 23 after treatment of osteomyelitis). The mean age of index procedure was 33.8 years (range, 13~66 years), and all of them had follow-up study for a mean of 3.5 years (range, 1.6~8 years). The mean transported amount was 6.3 cm (range, 2.7~20 cm), and the external fixator was removed after 345 days (range, 120~700 days). The mean external fixation index was 60.3 days/cm (range, 13.1~121.3 days/cm). RESULTS: Primary union of distraction and docking site was achieved in all, but two patients had failure in union of docking site. Functional results showed 6 excellent, 19 good, 10 fair, and 4 fair. The patients under age 20 showed better functional outcomes than the others. Among 73 complications (incidence, 1.87 cases/ patient), 27 of major complications with residual sequelae occurred in 20 patients. The residual sequelae were more common in the patients who had the concomitant injuries in the same leg. CONCLUSION: Internal bone transport can solve the large amount of tibial bone defect. However, the complications are not uncommon, which might be related to the concomitant injures in the same leg.
