Comparison of 39 post-traumatic tibia bone transports performed with and without the use of an intramedullary rod: the long-term outcomes.

International Orthopaedics
Emmanouil LiodakisStefan Hankemeier

Abstract

Bone transport can be performed with an external fixator alone or with the monorail technique which entails the combination of a fixator and an intramedullary nail. The purpose of this study was to compare the complication rates and long-term outcomes of these methods. Two groups of patients, the external fixator (n = 21) and the monorail group (n = 18), were compared. The average follow-up period was 7.9 ± 5.6 years and the mean defect length 8.3 ± 3.1 cm. Healing was achieved in 19 (90%) and 13 (72%) of the fixator and monorail patients, respectively. Six patients underwent amputations because of persistent infections (two in the fixator and four in the monorail group). The rate of deformities was significantly higher in the fixator group (p = 0.049). No statistically significant difference was found when comparing categories of the SF-36 test or the ability to work or do sports. The main advantages of the monorail method are reduction of the external fixation time and the lower rate of deformities. However, the authors recommend segmental transport with external fixator in patients with chronic infections.

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Citations

May 15, 2012·International Orthopaedics·Dmitry Y Borzunov
Jul 25, 2014·Strategies in Trauma and Limb Reconstruction·C Biz, C Iacobellis
May 20, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shoutao ZhangWeidong Mu
May 26, 2016·Strategies in Trauma and Limb Reconstruction·Konstantin HorasUwe Horas
Apr 30, 2017·The Bone & Joint Journal·R MorrisI Pallister
Feb 1, 2019·The Bone & Joint Journal·M A CatagniL M Di Giacomo
Apr 1, 2014·JBJS Reviews·Cesar S MolinaWilliam T Obremskey

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