Skip to main content

Table 4 The treatment of infected nonunion of tibia and femur by Ilizarov methods

From: Infected nonunion of tibia and femur treated by bone transport

Author Technique PN MA (years) MBD (cm) Site Bone union (%) Bone results (excellent/good/fair/poor) Functional results (excellent/good/fair/poor) Complications (per patient) EFT (months) EFI (M/cm)
Feng RD, AT, BT (IEF) 21 34.6 6.6 Tibia 21/21(100%) 19/2/0/0(Paley) __ 0.4(8/12) 9.8 1.48
Arora RD, AT, BT (MEF) 15 29 7.9 Femur 15/15(100%) 12/3/0/0(Arora) 5/8/2/0(Arora) 1.33(20/15) 7.3 0.93
Liu RD, AT, BT (MEF), 5 F 35 37.3 3.5 Tibia 35/35(100%) 28/5/2/0(Paley) 30/4/1/0(Paley) 1.11(39/35) 10.7 1.36
Sala RD, AT, BT (IEF/TSF) 12 44 8 Tibia 12/12(100%) 10/2/0/0(ASAMI) 6/5/1/0(ASAMI) 2.08(25/12) 13.9 2.0
Blum RD, AT, BT (IEF) 50 29.9 8.8 Femur 49/50(98%) __ __ __ 24.5 2.8
Megas RD, AT, CO, or ACL (IEF) 9 39.7 5 Tibia 9/9(100%) 5/4/0/0(Paley) 3/4/2/0(Paley) 1.44(13/9) 7.83 1.07
Bumbasirevic RD, AT, BT (IEF) 30 30.4 6.9 Tibia 29/30(97%) 19/10/0/1(Paley) 13/14/2/1(Paley) 1.4(42/30) 9.7 1.48
Emara RD, AT, BT (IEF), BG RD, AT, BT (IEF and IMN), BG 33 29 6 Tibia 16/16(100%) 15/1/0/0(ASAMI) 12/1/3/0(ASAMI) 0.4(6/16) 8.5 3.1 1.5
Tibia 17/17(100%) 17/0/0/0(ASAMI) 13/2/2/0(ASAMI) 0.12(2/17)   0.55
Madhusudhan RD, AT, ACL (IEF) RD, AT, BT (IEF) 22 37.2 4/5.4a Tibia 13/13(100%) 4/3/4/2(ASAMI) 1/3/6/2(ASAMI)* 2.73 (60/22) 9.3 8.5 2.33
Tibia 9/9(100%) 0/3/4/2(ASAMI) 0/1/3/2(ASAMI)**    1.57
Magadum RD, ACL (IEF) 27 39 10 Tibia 24/25(96%)*** 19/5/0/1(ASAMI) 15/8/1/1(ASAMI) 1.16(29/25) 10.2 1.02
Krishnan RD, AT, BT, or ACL (IEF) 20 38.4 6 Femur 19/20(95%) 13/4/1/1(ASAMI) One amputation 3/9/3/4(ASAMI) One amputation 3.55(71/20) 7.8 1.28
Sadiris RD, AT, ACL, or BT (IEF) 13 34.6 8.3 Femur 13/13(100%) 8/4/1/0(Paley) 3/4/4/2(Paley) 0.76(10/13) 10.33 1.24
Abdel-Aal RD, BT (IEF) 9 30.66 10.7 Tibia 9/9(100%) __ __ 1.22(11/9) 12.78 1.22
MaHale RD, AT, BT, or ACL or CO (IEF) 10 31 __ Tibia 10/10(100%) __ __ __ 9.0 __
Arora RD, BT, or CO (IEF) 46 35 6 Tibia/Femur 44/46(95.4%) __ 15/16/13/2(Paley) 0.74(34/46) 8.7 1.33
Atesalp RD, AT, BT (IEF), 3 F 14 25 4.4 Tibia 13/14(92.9%) __ __ 1.21(17/14) 6.8 1.55
Barbarossa RD, AT, BT (IEF) 23 40.7 6.2 Tibia 20/23(87%) 8/8/2/4(ASAMI) One amputation 2/10/6/4(ASAMI) One amputation 3.35(77/23) __ __
Maini RD, AT, BT (IEF) 15 27.4 7 Tibia/Femur 15/15(100%) 7/3/0/5(ASAMI) 4/7/1/3(ASAMI) 2.06(31/15) __ __
Laursen RD, AT, BT, or CO (IEF) 9 25.78 4.89 Tibia 9/9(100%) __ __ 1.56(14/9) 6.7 __
Ring RD, BT, or ACL or CO (IEF),3 F 10 34 4.3 Tibia 9/10(90%) __ __ 1.8(18/10) 6.9 __
Hosny RD, BT, or CO (IEF), 3AT 11 27 3.7 Tibia 11/11(100%) __ 5/3/2/1(Cattaneo) 1.27(14/11) 8.5 2.3
Dendrinos RD, BT (IEF) 28 37 6 Tibia 25/28(89%) 14/8/1/5(ASAMI) 7/11/4/5(ASAMI) One amputation 2.5(70/28) 10 1.67
  1. ACL acute compression and lengthening, ASAMI Association for the Study of the Method of Ilizarov, AT antibiotics treatment, BG bone graft, BT bone transport, CO compression osteosynthesis, EFI external fixation index, EFT external fixation time, F flaps, IEF Ilizarov external fixator, IMN intramedullary nailing, MA mean age, MBD mean bone defects, MFU mean follow-up, MEF monolateral external fixator, PN patient number, RD radical debridement, TSF Taylor Spatial Frame.
  2. *1 patient lost for follow-up.
  3. **3 patients were unable to evaluate.
  4. ***2 patients lost for follow-up.
  5. aThe study included two groups, the mean bone defects is 4 cm in one group, and 5.4 cm in another group.
  6. __ The data were not reported in the studies.