Combined Distraction Osteogenesis and Papineau Technique for an Open Fracture Management of the Distal Lower Extremity

Polyzois, Vasilios D.; Galanakos, Spyridon P.; Zgonis, Thomas; Papakostas, Ioannis; Macheras, George A.

doi:10.1016/j.cpm.2010.03.004

Cited by 10 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It serves as an inexpensive and safe alternative that can be utilized in developed countries as well as in regions where VAC and microsurgery are not available. Furthermore, it can be applied regardless of local and systemic host factors, unlike free-flap surgery, which may have a higher incidence of complications in patients with a history of smoking or diabetes mellitus, or those with unstable soft-tissue reconstructions after the induced-membrane technique within a limitedresource setting [21][22][23] . We believe that extensive resection of septic, non-viable bony and soft tissue is crucial for eradicating the infection, in addition to administering culture-specific antibiotics.…”

Section: Resultsmentioning

confidence: 99%

Papineau-irrigation technique: an alternative treatment of fracture-related infectious soft tissue defects

BOONEN,

GINCKELS,

TUERLINCKX

et al. 2023

Acta Orthop Belg

View full text Add to dashboard Cite

The original Papineau technique described satisfactory results in treating infection-related pseudarthrosis and chronic osteomyelitis with chronic draining wounds. We described our experience in treating these soft tissue defects using the Papineau-irrigation technique. We retrospectively reviewed the records of patients that were treated with the Papineau-irrigation technique at UZ Leuven, Belgium, between January 2006 and January 2023. All surgical procedures were performed by one senior orthopedic surgeon. There were no exclusion criteria. There was successful healing of the soft tissue defect in 27 out of 32 patients with serial drip irrigation. Additional debridement was often necessary. The Papineau-irrigation technique may provide a useful alternative for treating fracture-related soft tissue defects. In addition, this technique is safe and feasible. Further comparative studies are necessary to validate its efficacy.

show abstract

Section: Resultsmentioning

confidence: 99%

Papineau-irrigation technique: an alternative treatment of fracture-related infectious soft tissue defects

BOONEN,

GINCKELS,

TUERLINCKX

et al. 2023

Acta Orthop Belg

View full text Add to dashboard Cite

show abstract

“…Furthermore, the blood from the soft tissue bed or cancellous bone marrow cavity can seep out through the gap and solidify. Afterwards, granulation tissue forms and covers the bone graft, and this is followed by capillary ingrowth, which provides the foundation for free skin grafting [ 20 , 21 ]. All of these characteristics confirm that open bone grafting is applicable to patients with a poor state of local soft tissue and infectious non-union bone [ 22 ]; however, potential problems include needing treatment more frequently, and spending a longer period of time in hospital [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Vacuum-Assisted Closure Combined with Open Bone Grafting to Promote Rabbit Bone Graft Vascularization

Zhang

Ren

et al. 2015

Med Sci Monit

View full text Add to dashboard Cite

BackgroundPatients with composite bone non-union and soft tissue defects are difficult to treat. Vacuum-assisted closure (VAC) combined with open bone grafting is one of the most effective treatments at present. The aim of the present study was to preliminarily investigate the effect and mechanism of VAC combined with open bone grafting to promote rabbit bone graft vascularization, and to propose a theoretical basis for clinical work.Material/MethodsTwenty-four New Zealand white rabbits were randomly divided into an experimental and a control group. Allogeneic bones were grafted and banded with the proximal femur with a suture. The experimental group had VAC whereas the control group had normal wound closure. The bone vascularization rate was compared based on X-ray imaging, fluorescent bone labeling (labeled tetracycline hydrochloride and calcein), calcium content in the callus, and expression of fibroblast growth factor-2 (FGF-2) in bone allografts by Western blot analysis at the 4th, 8th, and 12th week after surgery.ResultsAt the 4th, 8th, and 12th week after surgery, the results of the tests demonstrated that the callus was larger, contained more calcium (p<0.05), and expressed FGF-2 at higher levels (p<0.05) in the experimental group than in the control group. Fluorescent bone labeling showed the distance between the two fluorescent ribbons was significantly shorter in the control group than in the experimental group at the 8th and 12th week after surgery.ConclusionsVAC combined with open bone grafting promoted rabbit bone graft vascularization.

show abstract

“…The modified Papineau technique (10, 11) provides another alternative for management of both soft tissue and bone defects especially in recurrent osteomyelitis in diabetic severe lesions (forms B, C, D and grades II, III) (1). This technique allows for secondary wound healing and has been described with increased popularity over the last decade, as a solution for persistent osteomyelitis and as a salvage procedure.…”

Section: Rational Approach To Management Of the Failed Plastic Surgicmentioning

confidence: 99%

A systematic approach to the failed plastic surgical reconstruction of the diabetic foot

Ignatiadis

Tsiampa

Papalois

2011

Diabetic Foot & Ankle

View full text Add to dashboard Cite

Plastic reconstruction for diabetic foot wounds must be approached carefully and follow sound micro-surgical principles as it relates to the anatomy of the designated flap chosen for coverage. First, the surgeon always needs to evaluate the local and general conditions of the presenting pathology and patient, respectively when considering a flap for reconstruction. The flap that is chosen is based on the vascularity, location, and size of the defect. Salvage of the failed flap and revisional reconstructive procedures are very challenging. Often, adjunctive therapies such as hyperbaric oxygen, negative pressure wound therapy, vasodilators, and/or vascular surgery is required. In certain case scenarios, such as patients with poor general health and compromised local vascularity in which revisional flap coverage cannot be performed, the above mentioned adjunctive therapies could be used as a primary treatment to potentially salvage a failing flap.

show abstract

Combined Distraction Osteogenesis and Papineau Technique for an Open Fracture Management of the Distal Lower Extremity

Cited by 10 publications

References 28 publications

Papineau-irrigation technique: an alternative treatment of fracture-related infectious soft tissue defects

Papineau-irrigation technique: an alternative treatment of fracture-related infectious soft tissue defects

Effect of Vacuum-Assisted Closure Combined with Open Bone Grafting to Promote Rabbit Bone Graft Vascularization

A systematic approach to the failed plastic surgical reconstruction of the diabetic foot

Contact Info

Product

Resources

About