The results of the treatment of 18 cases of nonunion of the tibial pylon using the Ilizarov method are presented. The level of the nonunion was divided into A (epiphyseal, 2 cases), B (from 1 to 4 cm from the joint rima, 7 cases), and C (from 4 to 7 cm from the rima, 9 cases). Nonunion was atrophic in 12 cases, hypertrophic in 2, and infected in 4. Bone grafts were applied in 8 atrophic cases, while bone resection with transport or resection-shortening was performed in the 4 cases with infection, or resection-shortening and then lengthening in 2 cases. Consolidation was always achieved. Range of movement was very compromised in 9 cases, of which 5 initially presented with joint fracture, while another 4 had had septic complications after fracture.
La pseudoartrosi del pilone tibiale.Trattamento con metodica di Ilizarov
IACOBELLIS, CLAUDIO;
2004
Abstract
The results of the treatment of 18 cases of nonunion of the tibial pylon using the Ilizarov method are presented. The level of the nonunion was divided into A (epiphyseal, 2 cases), B (from 1 to 4 cm from the joint rima, 7 cases), and C (from 4 to 7 cm from the rima, 9 cases). Nonunion was atrophic in 12 cases, hypertrophic in 2, and infected in 4. Bone grafts were applied in 8 atrophic cases, while bone resection with transport or resection-shortening was performed in the 4 cases with infection, or resection-shortening and then lengthening in 2 cases. Consolidation was always achieved. Range of movement was very compromised in 9 cases, of which 5 initially presented with joint fracture, while another 4 had had septic complications after fracture.Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
