Alba GYP, Cervantes GJE

Language: Spanish
References: 9
Page: 75-81
PDF size: 226.44 Kb.

ABSTRACT

Bone transport refers to the ability to carry healthy bone from a diaphyseal segment to an area of bone defect due to any cause, generating a gradual and progressive osteogenesis to cover a defect. Objective: To report the function of the pelvic limb of two cases of patients with infected tibial nonunion treated with bone transport with the monorail-type external fixator method at the Centenario Hospital Miguel Hidalgo. Material and methods: This is a retrospective, descriptive and analytical study. A search was made in the hospital database where two cases of patients with a diagnosis of infected pseudoarthrosis of the tibia treated with bone transport were reported. The study variables were collected in a predefined file including sociodemographic variables. Results: One was male and one female aged 15 and 17 years. One of the cases was due to an open fracture and one was closed. Average bone loss was 10 cm. The rest phase was an average of 15 days. According to Paley's criteria, bone results were excellent in one case and good in the other. In one of the cases, the monorail-type fixator was already removed and the patient is fully consolidated. The acute phase reactants in both cases are already negative. Functional results are excellent in one patient and good in the other. The two patients already have full limb support. Conclusion: The results show that bone transportations using the De Bastiani technique is a good alternative for the management of patients with major bone loss in the tibia.

REFERENCES

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