Surgical treatment options for septic non-union of the tibia: two staged operation, Flow-through anastomosis of FVFG, and continuous local intraarterial infusion of heparin

Kawakami, Ryoichi; Ejiri, Soichi; Hakozaki, Michiyuki; Hatashita, Satoshi; Sasaki, Nobuyuki; Kobayashi, Yoshitaka; Takahashi, Yoko; Konno, Satoshi

doi:10.5387/fms.2016-5

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…i) a two-staged operation; ii) a flow-through anastomosis to conserve blood flow in the major vessels in the lower leg; and iii) continuous heparin infusion through an implanted arterial catheter [24].…”

Section: Lipusmentioning

confidence: 99%

Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening

Lwin

Soe

Abas

et al. 2020

IJMPCR

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Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence.

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Section: Lipusmentioning

confidence: 99%

Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening

Lwin

Soe

Abas

et al. 2020

IJMPCR

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“…[32][33][34] When a septic nonunion is present, eradication of infection is necessary prior to management via a staged approach. 35,36 With technological advancements, different approaches and positioning techniques have been developed to mitigate complications, aid in fracture reduction, and avoid joint perforation. 22,37,38 These include the infrapatellar approach to the tibia, which consists of patellar tendon splitting (transpatellar) versus patellar tendon sparing (medial and lateral parapatellar) and the suprapatellar approach.…”

Section: Introductionmentioning

confidence: 99%

A Review of Proximal Tibia Entry Points for Intramedullary Nailing and Validation of The Lateral Parapatellar Approach as Extra-articular

et al. 2022

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Tibial shaft fractures are the most common long bone injury and are often treated surgically in an attempt to minimize complications. Although treatment options for tibial shaft fractures vary based on factors including open injury, severity of fracture, and soft tissue status, intramedullary nailing in adults has emerged as the preferred definitive option for stabilization. Therefore, the primary purposes of this review and cadaveric study were to evaluate the entry points for reamed tibial nails and the risks, benefits, and advantages of each approach. Due to concerns of violating the joint capsule and the generalized applicability to everyday practice of the extra-articular lateral parapatellar semi-extended technique, the secondary goal of this manuscript was to evaluate whether an intramedullary tibial nail can be consistently placed extra-articularly using the lateral parapatellar technique described by Kubiak et al. and generalizability to surgeons of varying experience.

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‘Acute Masquelet technique’ for reconstructing bone defects of an open lower limb fracture

Hatashita

Kawakami

Ejiri

et al. 2020

Eur J Trauma Emerg Surg

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Surgical treatment options for septic non-union of the tibia: two staged operation, Flow-through anastomosis of FVFG, and continuous local intraarterial infusion of heparin

Abstract: Our attempt to apply the strategies appears to be a viable treatment option for septic non-union of the tibia.

Cited by 8 publications

References 42 publications

Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening

Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening

A Review of Proximal Tibia Entry Points for Intramedullary Nailing and Validation of The Lateral Parapatellar Approach as Extra-articular

‘Acute Masquelet technique’ for reconstructing bone defects of an open lower limb fracture

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