Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection
PurposeThe rail fixator can improve the treatment outcome and provide good stability in patients with femoral bone transport. The purpose of this study is to investigate the clinical outcomes of bone transport using the Ilizarov technique by rail fixator in the treatment of femoral nonunion or bone...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.970765/full |
| _version_ | 1797956699781332992 |
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| author | Ainizier Yalikun Peng Ren Maimaiaili Yushan Aihemaitijiang Yusufu |
| author_facet | Ainizier Yalikun Peng Ren Maimaiaili Yushan Aihemaitijiang Yusufu |
| author_sort | Ainizier Yalikun |
| collection | DOAJ |
| description | PurposeThe rail fixator can improve the treatment outcome and provide good stability in patients with femoral bone transport. The purpose of this study is to investigate the clinical outcomes of bone transport using the Ilizarov technique by rail fixator in the treatment of femoral nonunion or bone defects caused by infection.MethodsClinical feature and treatment outcomes of 32 consecutive adult patients with femoral nonunion or bone defect caused by infection from January 2012 to January 2019 at a minimum of 2 years of follow-ups were retrospectively analyzed. Data were collected on participants' demographic details. All difficulties related to bone transport were documented according to Paley's classification. The clinical outcomes were evaluated using ASAMI criteria at the last clinical visit.ResultsAll 32 patients with an average follow-up of 33.5 months. There were 17 problems, 21 obstacles, and 8 complications, and the complication rate per patient was 1.4. The main complications were pin-site infection (53.1%), axial deviation (21.9%), joint stiffness (18.8%), the delayed union of the docking site (18.8%), soft tissue incarceration(15.6%), delayed consolidation(6.3%), malunion(6.3%), and refracture (3.1%). All the patients achieved bone union, and no recurrence of infection was observed. The excellent and good rates of ASAMI bone and functional results were 87.5% and 81.3%, respectively.ConclusionBone transport using the Ilizarov technique is an effective method for the treatment of femoral nonunion or bone defect caused by infection, and rail fixators have obtained satisfactory results in terms of bone and functional results. |
| first_indexed | 2024-04-10T23:52:56Z |
| format | Article |
| id | doaj.art-e08dc16255ea433d8484c3ebd5fab108 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T23:52:56Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-e08dc16255ea433d8484c3ebd5fab1082023-01-10T15:23:29ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.970765970765Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infectionAinizier YalikunPeng RenMaimaiaili YushanAihemaitijiang YusufuPurposeThe rail fixator can improve the treatment outcome and provide good stability in patients with femoral bone transport. The purpose of this study is to investigate the clinical outcomes of bone transport using the Ilizarov technique by rail fixator in the treatment of femoral nonunion or bone defects caused by infection.MethodsClinical feature and treatment outcomes of 32 consecutive adult patients with femoral nonunion or bone defect caused by infection from January 2012 to January 2019 at a minimum of 2 years of follow-ups were retrospectively analyzed. Data were collected on participants' demographic details. All difficulties related to bone transport were documented according to Paley's classification. The clinical outcomes were evaluated using ASAMI criteria at the last clinical visit.ResultsAll 32 patients with an average follow-up of 33.5 months. There were 17 problems, 21 obstacles, and 8 complications, and the complication rate per patient was 1.4. The main complications were pin-site infection (53.1%), axial deviation (21.9%), joint stiffness (18.8%), the delayed union of the docking site (18.8%), soft tissue incarceration(15.6%), delayed consolidation(6.3%), malunion(6.3%), and refracture (3.1%). All the patients achieved bone union, and no recurrence of infection was observed. The excellent and good rates of ASAMI bone and functional results were 87.5% and 81.3%, respectively.ConclusionBone transport using the Ilizarov technique is an effective method for the treatment of femoral nonunion or bone defect caused by infection, and rail fixators have obtained satisfactory results in terms of bone and functional results.https://www.frontiersin.org/articles/10.3389/fsurg.2022.970765/fullfemurilizarovinfected nonunionrail fixator systemsystematic review |
| spellingShingle | Ainizier Yalikun Peng Ren Maimaiaili Yushan Aihemaitijiang Yusufu Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection Frontiers in Surgery femur ilizarov infected nonunion rail fixator system systematic review |
| title | Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| title_full | Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| title_fullStr | Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| title_full_unstemmed | Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| title_short | Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| title_sort | clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection |
| topic | femur ilizarov infected nonunion rail fixator system systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.970765/full |
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