Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame. Review uri icon

Overview

MeSH

  • Humans
  • Physician's Practice Patterns
  • Practice Guidelines as Topic
  • Wound Healing

MeSH Major

  • Fractures, Open
  • Ilizarov Technique
  • Osteogenesis, Distraction
  • Tibial Fractures

abstract

  • Infected tibial nonunions with bone loss pose an extremely challenging problem for the orthopaedic surgeon. A comprehensive approach that addresses the infection, bone quality, and overlying soft-tissue integrity must be considered for a successful outcome. Acute shortening with an Ilizarov frame has been shown to be helpful in the treatment of open tibia fractures with simultaneous bone and soft-tissue loss. Cases in which the soft-tissue defect considerably exceeds bone loss may require an Ilizarov frame along with a concomitant soft-tissue procedure; however, there are a number of potential difficulties with vascularized pedicle flaps and free tissue flaps, including anastomotic complications, partial flap necrosis, and flap failure. The technique described in this report involves acute shortening and temporary bony deformation with the Ilizarov apparatus to facilitate wound closure and does not require a concomitant soft-tissue reconstructive procedure. Once the wound is healed, osseous deformity and length are gradually corrected by distraction osteogenesis with the Ilizarov/Taylor Spatial frame.

publication date

  • July 2006

has subject area

  • Fractures, Open
  • Humans
  • Ilizarov Technique
  • Osteogenesis, Distraction
  • Physician's Practice Patterns
  • Practice Guidelines as Topic
  • Tibial Fractures
  • Wound Healing

Research

keywords

  • Journal Article
  • Review

Identity

Language

  • eng

PubMed ID

  • 16825969

Additional Document Info

start page

  • 419

end page

  • 424

volume

  • 20

number

  • 6