Ilizarov Bone Transport Treatment for Tibial Defects

Abstract

Our results compare favorably with those for other methods of bone grafting as well as with those from other published accounts of the Ilizarov method, especially considering the large defect size in this series. The main disadvantage of the Ilizarov method is the lengthy external fixation time.

Treatment of primary malignant bone tumours of the distal tibia

“…The number of problems increases as the length of the gap increases. Bone transport has generally been used with gap lengths less than 10 cm, but bone transport in gaps up to 20 cm has been reported [4,13,16]. In our series, the length of bone transport did not exceed 15 cm.…”

“…In larger defects in adult patients, endoprosthetic replacement may give good results. In children, allograft with vascularised fibula transfer or fibula transfer alone provides an acceptable alternative, but here again bone transport seems promising [2,13,16].…”

Distraction osteogenesis in management of composite bone and soft tissue defects

“…Besides osseous reconstruction, major plastic surgery in the form of local or distant myocutaneous flaps may be required to reconstruct the soft tissue defects. Unfortunately these flaps remove motor units from their normal position and may produce donor site morbidities [1,3,4]. Yazar et al [7] reported on 62 cases with post-traumatic composite bone and soft tissue defects that were treated by one stage vascularised osteocutaneous flaps.…”

“…Sometimes the defects are associated with soft tissue injuries that make reconstruction very difficult and limit the functional outcome [4]. Restoration of a healthy soft tissue envelope is a very important step for the proper management of bone defect.…”

A new application technique of circular fixator for the treatment of open tibial fractures: Circular fixator-hinge technique

“…[12,13] On the plain radiographs, angles between the anatomic axis of the proximal and distal segments were evaluated, while varus-valgus or procurvation-recurvation deformities were recorded. Complications were also recorded according to Paley's complication classification.…”