L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results
Abstract Background We described the use of the technique of L-shaped corticotomy with bone flap sliding to treat chronic osteomyelitis of the tibia in eight patients and presented the preliminary results. Methods L-shaped corticotomy with bone flap sliding was performed in eight patients between 20...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1086-0 |
| _version_ | 1818001673270853632 |
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| author | Teng-fei Lou Gen Wen Chun-yang Wang Yi-min Chai Pei Han Xiao-fan Yin |
| author_facet | Teng-fei Lou Gen Wen Chun-yang Wang Yi-min Chai Pei Han Xiao-fan Yin |
| author_sort | Teng-fei Lou |
| collection | DOAJ |
| description | Abstract Background We described the use of the technique of L-shaped corticotomy with bone flap sliding to treat chronic osteomyelitis of the tibia in eight patients and presented the preliminary results. Methods L-shaped corticotomy with bone flap sliding was performed in eight patients between 2007 and 2014. All patients had chronic tibial osteomyelitis involving the anterior tibial cortex with intact and healthy posterior cortex. The size of bone defects following sequestrectomy and radical debridement was 8.1 cm on average. One patient required a latissimus dorsi flap. The mean follow-up period was 34.1 months. The functional and bone results were evaluated at the time of the latest follow-up. Results Complete eradication of infection and union of docking sites were achieved in all patients. Functional results were judged excellent in five patients and good in the rest three patients. Bone results were graded as excellent in all cases. The mean external fixation time was 169.9 days and external fixation index was 21.2 days/cm. Pain was the most common complaint that we faced during lengthening. Pin tract infections were observed in four patients, and mild transient stiffness of ankle joint was observed in three patients. Conclusions We have found this technique to be safe and effective, significantly diminishing the external fixation index. The earlier removal of the external fixator may result in increased patient comfort, a reduced complication rate, and a rapid and convenient rehabilitation. |
| first_indexed | 2024-04-14T03:36:24Z |
| format | Article |
| id | doaj.art-0ac97b4d1d864439a403b06f45579370 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T03:36:24Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-0ac97b4d1d864439a403b06f455793702022-12-22T02:14:43ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-02-0114111010.1186/s13018-019-1086-0L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical resultsTeng-fei Lou0Gen Wen1Chun-yang Wang2Yi-min Chai3Pei Han4Xiao-fan Yin5Orthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalOrthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalOrthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalOrthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalOrthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalOrthopaedic Department, Minhang Branch, Zhongshan Hospital, Fudan UniversityAbstract Background We described the use of the technique of L-shaped corticotomy with bone flap sliding to treat chronic osteomyelitis of the tibia in eight patients and presented the preliminary results. Methods L-shaped corticotomy with bone flap sliding was performed in eight patients between 2007 and 2014. All patients had chronic tibial osteomyelitis involving the anterior tibial cortex with intact and healthy posterior cortex. The size of bone defects following sequestrectomy and radical debridement was 8.1 cm on average. One patient required a latissimus dorsi flap. The mean follow-up period was 34.1 months. The functional and bone results were evaluated at the time of the latest follow-up. Results Complete eradication of infection and union of docking sites were achieved in all patients. Functional results were judged excellent in five patients and good in the rest three patients. Bone results were graded as excellent in all cases. The mean external fixation time was 169.9 days and external fixation index was 21.2 days/cm. Pain was the most common complaint that we faced during lengthening. Pin tract infections were observed in four patients, and mild transient stiffness of ankle joint was observed in three patients. Conclusions We have found this technique to be safe and effective, significantly diminishing the external fixation index. The earlier removal of the external fixator may result in increased patient comfort, a reduced complication rate, and a rapid and convenient rehabilitation.http://link.springer.com/article/10.1186/s13018-019-1086-0Tibial osteomyelitisL-shaped corticotomyBone flapBone transport |
| spellingShingle | Teng-fei Lou Gen Wen Chun-yang Wang Yi-min Chai Pei Han Xiao-fan Yin L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results Journal of Orthopaedic Surgery and Research Tibial osteomyelitis L-shaped corticotomy Bone flap Bone transport |
| title | L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results |
| title_full | L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results |
| title_fullStr | L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results |
| title_full_unstemmed | L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results |
| title_short | L-shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: surgical technique and clinical results |
| title_sort | l shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis surgical technique and clinical results |
| topic | Tibial osteomyelitis L-shaped corticotomy Bone flap Bone transport |
| url | http://link.springer.com/article/10.1186/s13018-019-1086-0 |
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