Patient (No.) | Age | Diagnosis | Severity | Fracture location | Type of treatment | Follow-up (months) | Outcome |
---|---|---|---|---|---|---|---|
1 | 46 | HA | Severe | L shaft | CREF | 6 | Pin infection after 3 months combined with visible adequate callus, and inhibitor developed after 4 months; patient refused further intervention. Died due to severe bleeding and infection 6 months later |
2 | 23 | HA | Severe | L distal | HPT excision, ORIF | 83 | Bone union, no HPT recurrence |
3 | 44 | HA | Moderate | R shaft | CREF | 61 | Pin infection after 2 weeks, treated with dressing change and discontinuous use of antibiotics, was not resolved until fixation failure. Fixation failed with fracture nonunion after 13 months |
R shaft (revision) | HPT excision, ORIF | HPT recurrence, plate broken 3 months after ORIF | |||||
R shaft | High-thigh amputation | No HPT recurrence | |||||
4 | 20 | HA | Moderate | R shaft | HPT excision, ORIF, allogeneic cortical strut graft | 30 | Bone union, no HPT recurrence |
5 | 31 | HB | Severe | L distal | HPT excision, ORIF, allogeneic cortical strut graft | 31 | Bone union, no HPT recurrence |
6 | 38 | HA | Severe | L shaft | High-thigh amputation | 45 | No HPT recurrence |
7 | 26 | HB | Moderate | L shaft | Left hip disarticulation, HPT excision in the right thigh | 77 | HPT recurrence after 3 months in the right thigh, femoral fracture caused by HPT compression after 4 years |
R shaft | R high-thigh amputation | No HPT recurrence | |||||
8 | 11 | HB | Moderate | R distal | HPT curettage, allogeneic cancellous bone graft, immobilization with brace | 27 | Bone union, no HPT recurrence |
9 | 28 | HA | Severe | R distal | HPT excision, autogenous cortical strut bone graft, allogeneic cortical strut bone graft, screw fixation alone | 29 | Bone union, thigh HPT recurrence after 1 year was treated with coagulation factor replacement without further progress. Tibial shaft fracture resulted from trauma 1 year later, was treated with ORIF |
10 | 48 | HA | Moderate | R shaft | HPT excision, ORIF | 8 | Visible adequate callus was observed, no HPT recurrence |