Comparison of Treating Tibial Nonunion with Bone and Soft Tissue Defect: Ilizarov Only Versus Free Flap and Ilizarov.
10.4055/jkoa.2002.37.6.754
- Author:
Soo Bong HAHN
1
;
Eui Hyun PARK
;
Hui Wan PARK
;
Hyun Woo KIM
;
Bo Hyeon KIM
Author Information
1. Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. sbhahn@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Tibia;
Bone defect;
Soft tissue defet;
Ilizarov external fixator;
Free flap
- MeSH:
External Fixators;
Follow-Up Studies;
Fractures, Open;
Free Tissue Flaps*;
Humans;
Osteogenesis, Distraction;
Retrospective Studies;
Tibia
- From:The Journal of the Korean Orthopaedic Association
2002;37(6):754-758
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To statistically analyze the advantages of distraction osteogenesis in combination with free flap in the treatment of tibial open fracture with bone and soft tissue defect. MATERIALS AND METHODS: Twenty patients with tibial open fracture with bone and soft tissue defect were treated by distraction osteogenesis with or without flap. Patients were followed up for a minimum of 12 months and retrospectively analyzed, for the admission period, the out patient follow-up period, and the intravenous antibiotic period, and distraction consolidation indices were determined. RESULTS: Those treated with free flap showed statistically significance shorter antibiotic period, admission period, and distraction consolidation indices. CONCLUSION: Free flap and distraction osteogenesis with an Ilizarov external fixator has many advantages for treating tibial open fracture with bone and soft tissue defect.
