Bifocal Compression–Distraction for Combined Bone and Soft-Tissue Defects in Post-traumatic Tibial Nonunion

• DOI: 10.1097/bot.0000000000001514
• Publication Date: 2019-08-30T17:53:13Z
• Authors: Mootaz F. Thakeb; Tamer A. Fayyad; Mohamed A. ElGebeily; Ramy A. Diab; Hany El Zahlawy; Mohamed S. Sharaf...; Mohamed A. Al Kersh
• Keywords: Traumatology; Ilizarov Technique

To compare 2 distraction osteogenesis techniques in post-traumatic tibial nonunion patients with composite bone and soft-tissue defects.Nonrandomized prospective, case series, single-center study.Department of Orthopaedics Traumatology, Limb Reconstruction Unit, El-Helal hospital, Cairo, Egypt.Fifty defects.Twenty-five were treated using transport (BT) technique, 25 acute shortening (AS) technique.The external fixation index (EFI); functional results; complication rates.All followed for a minimum 18 months after removal their Ilizarov frame. AS BT groups up mean 19.7 20.3 months, respectively. The gap resection debridement was 4 cm group 5.9 (P = 0.06). EFI statistically significant lower the compared 0.03). There no other differences between either intervention groups.Both achieved comparable good to excellent results, number complications ASAMI scores or function not significant. Yet, it appears that technique may be superior because has significantly EFI. This feasible all cases, however, is limited by defect size condition surrounding soft tissues.Therapeutic Level II. See Instructions Authors complete description levels evidence.