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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Musculoskeletal Disorders 1/2015

Ilizarov bone transport for the treatment of fibular osteomyelitis: a report of five cases

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2015
Autoren:
Peng Yin, Lihai Zhang, Lining Zhang, Tongtong Li, Zhirui Li, Jiantao Li, Jianfeng Zhou, Qi Yao, Qun Zhang, Peifu Tang
Wichtige Hinweise
Peng Yin Lihai Zhang and Lining Zhang contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

PY performed the design and conception of the research, collected and analyzed the data, and drafted the manuscript. LHZ joined the design and conception of the research and revised the manuscript critical for important content. LNZ joined the design of the research, and collected the data and underwent data analysis. TTL joined the design and conception of the research. ZRL underwent data analysis. JTL underwent data analysis. JFZ joined the conception of the research.QY performed the design and conception of the research and analyzed the data. QZ performed operations and joined the design and conception of the research. PFT performed the design and conception of the research, analyzed the data, and gave some precious comments in revising the manuscript. All authors read and approved the final manuscript.

Abstract

Background

The objective of this study was to evaluate the effectiveness of the treatment of fibular osteomyelitis by Ilizarov bone transport.

Methods

We retrospectively reviewed 5 patients with fibular osteomyelitis treated by Ilizarov bone transport. Our study included 4 males and 1 female with a mean of age 29.2 years. The average length of the bone defects after radical debridement was 7.6 cm (range 6.5-10 cm).

Results

The mean follow-up was 24.8 months (range 14–34 months). No patient was lost to follow-up. All the patients had bone union and no recurrence of infection was observed. The mean external fixation time was 8.8 months (range 8-10 months), and the mean external fixation index was 1.18 months/cm (range 0.90-1.43 months/cm). There was no sign of knee or ankle instability by clinical examination in all the patients. According to Association for the Study and Application of the Method of Ilizarov (ASAMI) classification, bone results were excellent in 3 patients, good in 2 patients; functional results were excellent in 3 patients, good in 2 patients.

Conclusions

Our study suggested that Ilizarov bone transport may be a good choice for the treatment of fibular osteomyelitis, especially for the patient with distal fibular loss.
Literatur
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