Strategies in Trauma and Limb Reconstruction

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VOLUME 11 , ISSUE 3 ( November, 2016 ) > List of Articles

Original Article

Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame

Ibrahim Elsayed Abdellatif Abuomira, Francesco Sala, Yasser Elbatrawy, Giovanni Lovisetti, Salvatore Alati, Dario Capitani

Keywords : Bone transport, Tibial nonunion, Bone defect, Docking site, Taylor spatial frame, Ilizarov

Citation Information : Abuomira IE, Sala F, Elbatrawy Y, Lovisetti G, Alati S, Capitani D. Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame. 2016; 11 (3):153-159.

DOI: 10.1007/s11751-016-0264-4

License: CC BY-NC-SA 4.0

Published Online: 30-11-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I–TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I–TSF were compared with 25 patients treated with a conventional circular frame. In the I–TSF group, an average of 7.6 cm of bone was resected and the lengthening index (treatment time in months divided by lengthening amount in centimeters) was 1.97. In the conventional circular frame group, a mean of 6.5 cm was resected and the lengthening index was 2.1. Consolidation at the docking site and at the regenerate bone occurred in 49 (89 %) of 55 cases after the first procedure. No statistically significant difference was shown between the two groups. Superiority of one modality of treatment over the other cannot be concluded from our data. Application of combined Ilizarov and Taylor spatial frames for bone transport is useful for treatment of tibial nonunion with bone loss. Level of evidence Case series, Level III.


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