Results of the Treatment of Infected Nonunions of the Lower Limbs Using the Ilizarov Method

Ortopedia, traumatologia, rehabilitacja
Marek DróżdżWojciech Marczyński

Abstract

Infected nonunion is a complex complication of the treatment of long bone fractures. An in creased incidence of injuries, including high energy injuries (often open ones), contributes to a higher incidence of nonunion. These primarily infected injuries cause osteomyelitis, which prevents bone union, resulting in an infected nonunion. The Ilizarov method meets the biological and biomechanical treatment requirements, opti mising the process of inflammation healing and producing bone union. A total of 54 patients were treated in 2000-2014 for nonunion in the lower limbs with the Ilizarov method, which was used after previous treatment had failed. The subjects underwent intra operative resection of the locus of infection, sequestrectomy and a Judet procedure, followed by the use of the Ilizarov apparatus and bone transport, depending on the defect. Inflammation healed in 52 patients (96%) and bone union was achieved in 46 patients (86%). Good outcomes with healed inflammation and bone union were reported in 76% of the cases, fair outcomes with tem porary elimination of the inflammation and without bone union in 16%, and poor outcomes without inflam ma tion healing and without bone union in 7%. Treatment of infected nonunion can onl...Continue Reading

Citations

May 10, 2020·Journal of Clinical Medicine·Gianluca TestaVito Pavone
Aug 12, 2020·Archives of Orthopaedic and Trauma Surgery·Łukasz SzelerskiPiotr Morasiewicz

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