Bone transport over an intramedullary nail for reconstruction of long bone defects in tibia

Chang Wug Oh, Hae Ryong Song, Jae Young Roh, Jong Keon Oh, Woo Kie Min, Hee Soo Kyung, Joon Woo Kim, Poong Taek Kim, Joo Chul Ihn

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background: Although long bone defects may be treated by callus distraction, frequent complications arise from the long duration of external fixation. To reduce such complications, bone transport over an intramedullary nail (BTON) has been done for tibial bone defect. Methods: In 12 patients (mean age, 46.1 years) of chronic osteomyelitis or bone defect, segmental transport was done using external fixator over an intramedullary nail. Prior to the index procedure, all patients had had serial debridements and five required myocutaneous or free flaps for covering of soft tissue defects. Using Mekhail's criteria, functional results were evaluated. Results: The mean transported amount was 5.9 (range, 3.5-12) cm. The mean external fixation index was 26 days/cm, and healing index was 62.6 days/cm. The primary union of distraction and docking site was achieved in all, except for one failure in union at the docking site, which required another bone graft. Except for one patient with associated ankle injury, all had excellent or good functions. There was one recurrence of osteomyelitis and one procurvatum of the proximal tibia of 10°. Conclusion: BTON may be a successful method in tibial reconstruction and allows patients to return to daily life earlier with relatively few complications.

Original languageEnglish
Pages (from-to)801-808
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume128
Issue number8
DOIs
Publication statusPublished - 2008 Aug

Keywords

  • Bone Transport
  • Bone defect
  • Intramedullary nail
  • Tibia

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Oh, C. W., Song, H. R., Roh, J. Y., Oh, J. K., Min, W. K., Kyung, H. S., Kim, J. W., Kim, P. T., & Ihn, J. C. (2008). Bone transport over an intramedullary nail for reconstruction of long bone defects in tibia. Archives of Orthopaedic and Trauma Surgery, 128(8), 801-808. https://doi.org/10.1007/s00402-007-0491-8