Keywords
Tibial nonunion
Bone transport technique
Treatment effect
Submitted : 2024-02-13
Accepted : 2024-02-28
Published : 2024-03-14
Abstract
Objective: To evaluate the therapeutic effect of bone transport technique in patients with infected tibial nonunion. Methods: 30 patients with infected tibial nonunion admitted to our hospital from January 2021 to January 2023 were selected as the subjects of this study, and were divided into two groups according to the different treatment methods. 15 patients in the control group were subjected to conventional surgical treatments, and another 15 patients in the observation group were treated with bone transport techniques. The operation time, intraoperative bleeding, hospitalization time, incidence of postoperative complications, and the total effective rate of treatment were compared between the two groups. Results: The operation time and the hospitalization time of the observation group were shorter than that of the control group, and the intraoperative bleeding of the observation group was less than that of the control group (P < 0.05); the observation group had a lower incidence of postoperative complications than the control group (P < 0.05); the observation group had a higher total effective rate of treatment than the control group (P < 0.05). Conclusion: In the treatment of infected tibial nonunion, the application of bone transport technique can achieve better therapeutic effects, shorten the operation time, reduce intraoperative bleeding, lower postoperative complications, and promote the early recovery of patients.
References
Yang C, Liu B, Ma X, et al., 2023, Observation on the Efficacy of Masquelet Technique Combined with Antibiotic Bone Cement-Coated Intramedullary Nailing in the Treatment of Infected Bone Nonunion of Tibial Stem. Trauma and Emergency Medicine, 11(3): 162–164, 169.
Shang X, 2020, Clinical Analysis of Ilizarov Technique for the Treatment of Tibial Bone Defects and Infected Osteoarthritis. Clinical Medicine Literature Electronic Journal, 7(45): 16–17.
Liu B, Ma X, Yang C, et al., 2020, Antibiotic Cement-Coated Intramedullary Nailing Combined with Masquelet Technique for the Treatment of Infected Bone Defects in the Tibial Stem. Journal of Fracture Surgery, 29(10): 791–795.
Jia C, Yu S, Wu H, et al., 2020, Masquelet Technique Two-Stage Intramedullary Nail Fixation Reconstruction for Infected Bone Defects in Tibia. Journal of Fracture Surgery, 29(1): 29–33.
Yang H, Zhang Y, Li Q, et al., 2022, NRD-Assisted Ilizarov Technique for the Treatment of Infected Bone and Soft Tissue Defects in the Tibia. China Orthopedic Injury, 35(10): 921–926.
Yang J, Xu J, Huang Z, et al., 2020, Clinical Study of Bone Lengthening in the Treatment of Osteomyelitis Bone Defects of the Lower Limb. Chinese Journal of Bone and Joint Surgery, 13(9): 752–756.
Han X, Sun Z, Wang J, et al., 2020, Ilizarov Technique of Bone Shortening-Lengthening for the Treatment of Tibial and Soft Tissue Defects Without Vascular Injury. Chinese Journal of Traumatology and Orthopaedics, 22(4): 309–314.
Guo J, 2021, Observation on the Effect of Ilizarov Technique on the Promotion of Healing in Patients with Tibial Fracture. Chinese Drugs and Clinics, 21(4): 603–604.
Xiao D, Zhao J, Pan T, et al., 2020, Application of Manual Realignment Combined with Mippo Technique in the Treatment of Tibial Fracture. Clinical Journal of Traditional Chinese Medicine, 32(8): 1553–1556.
Cheng K, Wang B, Tu Z, et al., 2023, Biplane Osteotomy Bone Handling Combined with Intramedullary Nailing for the Treatment of Large Tibial Bone Defects. Chinese Tissue Engineering Research, 27(13): 2058–2063.
Hu R, Yan L, Li S, et al., 2023, Analysis of the Efficacy of Masquelet-Induced Membrane Technique Combined with Locking Plate Externalization in the Treatment of Infected Bone Defects in Tibia. Chinese Journal of Traumatology and Orthopaedics, 25(8): 718–722.
Zheng H, Wang L, Liu Y, et al., 2023, Analysis of the Efficacy of 3D Printed Guide Plate Assisted Ilizarov Bone Handling Technique in the Treatment of Tibial Bone Defects. Chinese Journal of Traumatology and Orthopedics, 25(7): 617–623.
Feng D, Zhang Y, Wu W, et al., 2023, Analysis of Risk Factors for Axial Deviation in Tibial Bone Defects Treated with Bone Lifting. Journal of Trauma Surgery, 25(6): 443–447.
Liu L, Wang D, Li Y, et al., 2023, Analysis of the Efficacy of “Accordion” Technique in Promoting the Healing of the Contralateral Bone in the Treatment of Tibial Bone Defects by Bone Lifting. Chinese Journal of Traumatology and Orthopaedics, 25(4): 323–327.
Ji S, Ma T, Wang Q, et al., 2023, Comparison of the Efficacy of Bone Shortening-Lengthening and Bone Handling Technique with Antibiotic-Loaded Calcium Sulfate in the Treatment of Post-Traumatic Tibial Large Segmental Bone Defects. International Journal of Surgery, 50(3): 149–155.
Liu F, Dong Z, 2020, Factors Affecting Delayed Healing or Non-Healing After Ilizarov Technique for the Treatment of Tibial Bone Defects in the Elderly. Chinese Journal of Gerontology, 40(19): 4133–4135.