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Tibial bone defects treated by internal bone transport using the Ilizarov method

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Abstract.

We reviewed 27 cases of tibial bone defects treated by internal bone transport using the Ilizarov method. The causes of the bone defects were open fractures in 14 segments and infected non-unions in 13. The average length of the defects was 8.3 cm (range, 3–20 cm). There were 21 one-level tibial transports, 3 two-level tibial transports, 1 one-level tibial transport with fibular transport, and 2 fibular transports. At the docking site, 25 segments underwent bone grafting. Eleven of the 25 were Papineau-type open cancellous bone grafts. Acute shortening or docking was performed in 10 segments. Bone union was obtained in every instance. The average time of external fixation was 8 months and the average time to union was 7.1 months. Bone grafting at the docking site is recommended in order to shorten the duration of treatment and to prevent refracture and non-union.

Résumé.

Nous avons passé en revue 27 cas de perte de substance du tibia traités par «transport osseux interne» conformément à la méthode Ilizarov. Ces anormalies provenaient de fractures ouvertes dans 13. La longeur moyenne des defect osseux était de 8,3 cm (entre 3 et 20 cm). On a effectué 21 «transports tibiaux» de niveau 1, 3 «transports tibiaux» de niveau 2, 1 «transport tibial» avec «transport du péroné», ainsi que 2 «transport du péroné». Dans 25 cas une greffe osseuse a été pratiquée sur le site de réduction. 11 cas des 25 greffes pratiquées étaitent du type Papinau. D’importances réduction ont dûétre effectuées dans 10 cas. Des fusions ont été obtenues dans tous les cas. Le temps moyen de fixation externe était de 8 mois et celui de fusion de 7,1 mois. La greffe osseuse est recommandée sur le site de réduction afin de raccourcir la durée du traitement et de prévenir toute récidive de fracture ou de non-consolidation.

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Accepted: 7 November 1997

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Song, HR., Cho, SH., Koo, KH. et al. Tibial bone defects treated by internal bone transport using the Ilizarov method. International Orthopaedics SICOT 22, 293–297 (1998). https://doi.org/10.1007/s002640050263

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  • DOI: https://doi.org/10.1007/s002640050263

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