Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report
Introduction. Septic pseudoarthroses of the tibia represent a relatively frequent complication of open fractures with a large soft tissue damage. They may be localized: in the proximal metaphysis, between the proximal and middle thirds, between middle and distal thirds, in the distal metaphysis....
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2010-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791010643J.pdf |
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| author | Šešlija Igor Živković Zorica Jovanović Vesna Vukašinović Zoran |
| author_facet | Šešlija Igor Živković Zorica Jovanović Vesna Vukašinović Zoran |
| author_sort | Šešlija Igor |
| collection | DOAJ |
| description | Introduction. Septic pseudoarthroses of the tibia represent a relatively frequent complication of open fractures with a large soft tissue damage. They may be localized: in the proximal metaphysis, between the proximal and middle thirds, between middle and distal thirds, in the distal metaphysis. Case Outline. A case of a 52-year-old man with open fracture of the left tibia is presented. He fell from the height of 30 meters. The external fixation according to Mitkovic was performed in another institution. The patient was referred to our hospital nine months after the accident, with clear clinical and radiological signs of septic pseudoarthrosis of the tibia. The resection of septic pseudoarthrosis was done two weeks after admission. Three weeks later, another operation was performed, bilocal alternating distractive-compressive osteosynthesis according to Ilizarov. After eleven months Ilizarov frame was removed, with clinical, radiological signs of healing of pseudoarthrosis and complete curing of the infection. Five months after removal of the frame, the patient was fully anatomically and functionally recovered. Conclusion. Being satisfied with the achieved results and encouraged with the data from the literature, we recommend this method as the method of choice for the treatment of pseudoarthrosis of the tibia. The advantage consists of curing the infection using the natural bactericide power of the tissue and curing the bone defect, at the same time, and finally, producing the equalization of the legs. |
| first_indexed | 2024-12-14T08:20:42Z |
| format | Article |
| id | doaj.art-7ac2745c0bb645d3801b5e515e7df7ea |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-14T08:20:42Z |
| publishDate | 2010-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-7ac2745c0bb645d3801b5e515e7df7ea2022-12-21T23:09:48ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-011389-1064364610.2298/SARH1010643JTreatment of septic pseudoarthrosis of tibia by Ilizarov method: Case reportŠešlija IgorŽivković ZoricaJovanović VesnaVukašinović ZoranIntroduction. Septic pseudoarthroses of the tibia represent a relatively frequent complication of open fractures with a large soft tissue damage. They may be localized: in the proximal metaphysis, between the proximal and middle thirds, between middle and distal thirds, in the distal metaphysis. Case Outline. A case of a 52-year-old man with open fracture of the left tibia is presented. He fell from the height of 30 meters. The external fixation according to Mitkovic was performed in another institution. The patient was referred to our hospital nine months after the accident, with clear clinical and radiological signs of septic pseudoarthrosis of the tibia. The resection of septic pseudoarthrosis was done two weeks after admission. Three weeks later, another operation was performed, bilocal alternating distractive-compressive osteosynthesis according to Ilizarov. After eleven months Ilizarov frame was removed, with clinical, radiological signs of healing of pseudoarthrosis and complete curing of the infection. Five months after removal of the frame, the patient was fully anatomically and functionally recovered. Conclusion. Being satisfied with the achieved results and encouraged with the data from the literature, we recommend this method as the method of choice for the treatment of pseudoarthrosis of the tibia. The advantage consists of curing the infection using the natural bactericide power of the tissue and curing the bone defect, at the same time, and finally, producing the equalization of the legs.http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791010643J.pdftibiaseptic pseudoarthrosisresectionIlizarov method |
| spellingShingle | Šešlija Igor Živković Zorica Jovanović Vesna Vukašinović Zoran Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report Srpski Arhiv za Celokupno Lekarstvo tibia septic pseudoarthrosis resection Ilizarov method |
| title | Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report |
| title_full | Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report |
| title_fullStr | Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report |
| title_full_unstemmed | Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report |
| title_short | Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report |
| title_sort | treatment of septic pseudoarthrosis of tibia by ilizarov method case report |
| topic | tibia septic pseudoarthrosis resection Ilizarov method |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791010643J.pdf |
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