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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.