Complications associated with distraction osteogenesis for infected nonunion of the femoral shaft in the presence of a bone defect A RETROSPECTIVE SERIES

Complications associated with distraction osteogenesis for infected nonunion of the femoral shaft in the presence of a bone defect A RETROSPECTIVE SERIES

Autor Blum, A. L. L. Autor UNIFESP Google Scholar
Bongiovanni, J. C. Autor UNIFESP Google Scholar
Morgan, S. J. Google Scholar
Flierl, M. A. Google Scholar
Reis, F. Baldy dos Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo We undertook a retrospective study of 50 consecutive patients (41 male, 9 female) with an infected nonunion and bone defect of the femoral shaft who had been treated by radical debridement and distraction osteogenesis. Their mean age was 29.9 years (9 to 58) and they had a mean of 3.8 (2 to 19) previous operations. They were followed for a mean of 5.9 years (2.0 to 19.0). the mean duration of the distraction osteogenesis was 24.5 months (2 to 39). Pin-track infection was observed in all patients. the range of knee movement was reduced and there was a mean residual leg-length discrepancy of 1.9 cm (0 to 8) after treatment. One patient required hip disarticulation to manage intractable sepsis. in all, 13 patients had persistant pain. Bony union was achieved in 49 patients at a mean of 20.7 months (12 to 35).Although distraction osteogenesis is commonly used for the treatment of infected femoral nonunion with bone defects, it is associated with a high rate of complications.
Idioma Inglês
Data de publicação 2010-04-01
Publicado em Journal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 92B, n. 4, p. 565-570, 2010.
ISSN 0301-620X (Sherpa/Romeo, fator de impacto)
Publicador British Editorial Soc Bone Joint Surgery
Extensão 565-570
Fonte http://dx.doi.org/10.1302/0301-620X.92B4.23475
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000276192000018
Endereço permanente http://repositorio.unifesp.br/handle/11600/32460

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