Effect of freshening technique on docking site in tibial bone transport management.
10.12200/j.issn.1003-0034.2022.10.003
- Author:
Xing TENG
1
;
Lei HUANG
1
;
Sheng-Song YANG
1
;
Tao WANG
1
;
Mao-Qi GONG
1
;
Xie-Yuan JIANG
1
Author Information
1. Orthopaedic Trauma Department, Beijing Jishuitan Hospital, Beijing, 100035, China.
- Publication Type:Journal Article
- Keywords:
Distraction osteogenesis;
Docking site;
Ilizarov technique;
Tibia bone transport
- MeSH:
Adult;
Female;
Humans;
Male;
Middle Aged;
Young Adult;
Osteotomy;
Retrospective Studies;
Tibia/surgery*;
Tibial Fractures/surgery*;
Treatment Outcome;
Ilizarov Technique;
Osteogenesis, Distraction
- From:
China Journal of Orthopaedics and Traumatology
2022;35(10):914-920
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the effect of freshening technique on docking site in tibial bone transport management.
METHODS:Retrospective cohort study was conducted about the effect of freshening technique on docking site in 20 cases(15 males and 5 females) treated with tibial bone transport from January of 2014 to December of 2019. The age of patients ranged from 19 to 62 years old, with an average of (42.3±11.5)years old. Seven patients had infectious bone defect and 13 patients had non-infectious. Application of freshening technique immediately after docking included resection of invaginated skin or soft tissue, removal of closed sclerotic bone, re-apposition, increasing the contact, acute compression of freshened docking site and grafting from adjacent medullary or bone debris, followed by post-operative gradual compression.
RESULTS:The amount of segmented bone defect ranged from 5 to 15 cm, with an average of(9.2±2.9) cm. Time required from osteotomy to contact of butt end ranged from 26 to 243 days, with an average of(109.1±51.1) days. The duration needed from 3 to 7 months with an average of(3.7±1.1) months before reaching radiological healing criterion in docking site. Fourteen out of 15 concurrent fibular osteotomy were united. Consolidation time for distracted callus ranged from 5 to 28 months, with an average of (15.0±6.5) months. Bone healing index(BHI) ranged from 0.8 to 2.8 months/cm, with an average of (1.6±0.5) months. One surgical site infection (5%) in tibial was noted. No refractures were found in follow-up ranged from 12 to 73 months, with an average of(37.6±20.3) months after fixator removal.
CONCLUSION:Freshening technique immediately after docking had advantages of the shorter healing time, avoidance of refracture, and independance of necessity for remote autograft harvest.
