Tibial bone defects treated by internal bone transport using the Ilizarov method

Hae Ryong Song, S. H. Cho, K. H. Koo, S. T. Jeong, Y. J. Park, J. H. Ko

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Abstract

We reviewed 27 cases of tibial bone defects treated by internal bone transport using the Ilizarov method. The causes of the bone defects were open fractures in 14 segments and infected non-unions in 13. The average lengths of the defects was 8.3 cm (range, 3-20 cm). There were 21 one-level tibial transports, 3 two-level tibial transports, 1 one-level tibial transport with fibular transport, and 2 fibular transports. At the docking site, 25 segments underwent bone grafting. Eleven of the 25 were Papineau-type open cancellous bone grafts. Acute shortening or docking was performed in 10 segments. Bone union was obtained in every instance. The average time of external fixation was 8 months and the average time to union was 7.1 months. Bone grafting at the docking site is recommended in order to shorten the duration of treatment and to prevent refracture and non-union.

Original languageEnglish
Pages (from-to)293-297
Number of pages5
JournalInternational Orthopaedics
Volume22
Issue number5
DOIs
Publication statusPublished - 1998 Dec 1
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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