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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Infected Nonunion of Tibia Managed by Limb Reconstruction System- A Prospective Cohort Study
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Infected Nonunion of Tibia Managed by Limb Reconstruction System- A Prospective Cohort Study

机译：受肢体重建系统管理的胫骨的感染性undution-一项潜在的队列研究

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Infected nonunion of tibia is one of the most commonly faced problem in both compound as well as closed fractures of Tibia, treated surgically. Few patients also present with gap at the fracture site which may be either due to bone loss during trauma or due to debridement of dead bone during previous surgeries. Treatment of infected nonunion is always challenging with unpredictable outcomes. Limb Reconstruction System (LRS) is one of the systems available to treat this complex situation.Aim: To evaluate the role of LRS in treatment of infected nonunion of Tibia in terms of union time, total duration of fixator applied and Visual Analouge Score (VAS).Materials and Methods: Twenty one patients of infected gap, nonunion of tibia were included in the study and were treated with debridement, resection of dead bone and application of LRS and segment transport. The results were evaluated in terms of union time, total duration of fixator applied and VAS. Bony and functional assessment was done by Association for the Study and Application of the Methods of Illizarov (ASAMI) criteria. SPSS statistics 24.0 was used for analysis. Mean, median and mode were used to describe continuous variable.Results: Out of 21 patients, 19 were males and two were females. The mean age of patients was 29.43±14.07 years. The mean limb length discrepancy was 23.3 mm (range, 15-40 mm). The mean duration from injury to LRS application was 7.9 months (range, 6-12 months). Mean duration of follow-up was 29.5 months (range, 16-50 months). Average union time was 44 weeks and average fixator time was 11.2 months. Bony and function results were good and excellent in 90% cases.Conclusion: The use of monolateral rail external fixator LRS is an effective method for the treatment of infected nonunion of tibia augmented with a fibular strut graft. This provides good results in terms of bony union, subsidence of infection and functional results.
机译：感染的胫骨的非阴性是两种化合物中最常见的问题之一，也是胫骨的封闭骨折，手术治疗。很少有患者还存在裂缝部位的间隙，这可能是由于创伤期间的骨质损失或由于先前的手术期间死骨的清除。感染的洋葱的治疗始终挑战不可预测的结果。肢体重建系统（LRS）是可用于治疗这种复杂情况的系统之一。目的：评估LRS在联盟时间方面对胫骨感染不安的影响的作用，固定剂持续时间和视觉分析得分（VAS）。材料和方法：二十一名受感染患者的患者，胫骨的壬尼患者被纳入该研究，并用清血统治疗，切除死骨和LRS和段运输的应用。结果在愈合时间，施用的固定剂持续时间和VAS评估结果。骨骼和功能评估由Illizarov（ASAMI）标准的研究和应用的研究和应用完成。 SPSS统计24.0用于分析。平均值，中位数和模式用于描述连续变量。结果：21例患者中，19名男性，两个是女性。患者的平均年龄为29.43±14.07岁。平均肢体长度差异为23.3毫米（范围，15-40mm）。从LRS申请造成的平均持续时间为7.9个月（范围，6-12个月）。随访的平均持续时间为29.5个月（范围，16-50个月）。平均联盟时间为44周，平均定位器时间为11.2个月。骨骼和功能结果良好且优质90％。结论：使用单侧轨外固定器LRS是一种有效的方法，用于治疗胫骨感染的胫骨的浑浊，增强了腓骨支撑移植。这在骨髓联盟，感染沉降和功能结果方面提供了良好的结果。

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