Ilizarov bone transport for the treatment of segmental tibial bone defect

Segmental Tibial bone defect is challenging because of its poor soft tissue coverage. Reconstruction using internal fixation carry a risk of infection. Furthermore, large segmental defect often require large amount of autologous bone graft. However, ilizarov bone transport is a complex reconstructio...

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Main Authors:	Mohd Yusof, Nazri, Sulong, Ahmad Fadzli, Nik Abdul Adel, Nik Alyani
Format:	Conference or Workshop Item
Language:	English English English
Published:	2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/74546/ http://irep.iium.edu.my/74546/1/abstract%20apps.jpeg http://irep.iium.edu.my/74546/25/74546%20programme%20schedule.pdf http://irep.iium.edu.my/74546/31/tibia%20bone%20transportV2.pdf

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spelling	iium-745462019-10-22T12:56:01Z http://irep.iium.edu.my/74546/ Ilizarov bone transport for the treatment of segmental tibial bone defect Mohd Yusof, Nazri Sulong, Ahmad Fadzli Nik Abdul Adel, Nik Alyani RD701 Orthopedics Segmental Tibial bone defect is challenging because of its poor soft tissue coverage. Reconstruction using internal fixation carry a risk of infection. Furthermore, large segmental defect often require large amount of autologous bone graft. However, ilizarov bone transport is a complex reconstruction procedure that is associated with a lot of complications and treatment failures. The aim of this study is to review the outcome of patients treated for segmental tibial defect in Advanced Trauma and Limb Reconstruction Unit in our hospital. Methodology This is a retrospective study of 36 patients who have underwent bone transport from January 2006 to December 2018. There were 32 males and 4 females with a mean age of 33.2 years old (range 15 to 65). Fifteen defect in the distal, 13 midshaft and 8 proximal tibia. Nineteen cases due to open fractures, 9 implant related infection, 3 atrophic non-union, 3 septic non-union and 2 osteomyelitis. Four patients have underlying diabetes mellitus, 1 HIV and 1 hepatitis B infection. Fifteen patients had a local flap and 1 had a free flap surgery to cover the soft tissue defect. The mean size of bone defect is 4.8 cm (range 2- 10 cm). The clinical and functional status was assessed using the ASAMI criteria. Results Two patients were not able to complete the treatment because cannot tolerate the ilizarov external fixation. Thirty (88%) patients achieve union with a meant time of 12 months (range 5 to 30 month). Four patients develop non-union. Two underwent amputation, 1 free fibular transfer and 1 underwent bone transport with the Monorail external fixation. Twenty three achieve excellent, 4 good and 3 fair bone results. Eleven achieve excellent, 17 good and 1 each fair and poor functional results. Conclusions Ilizarov bone transport able to salvage nearly 90% of segmental tibial defect with more than 90% excellence and good functional results. Patients’ selection and close monitoring are important to achieve successful treatment. 2019 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/74546/1/abstract%20apps.jpeg application/pdf en http://irep.iium.edu.my/74546/25/74546%20programme%20schedule.pdf application/pdf en http://irep.iium.edu.my/74546/31/tibia%20bone%20transportV2.pdf Mohd Yusof, Nazri and Sulong, Ahmad Fadzli and Nik Abdul Adel, Nik Alyani (2019) Ilizarov bone transport for the treatment of segmental tibial bone defect. In: 4th Combined Congress of the ASAMI-BR & ILLRS Societies, 27th - 30th August 2019, Liverpool, United Kingdom. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mohd Yusof, Nazri Sulong, Ahmad Fadzli Nik Abdul Adel, Nik Alyani Ilizarov bone transport for the treatment of segmental tibial bone defect
description	Segmental Tibial bone defect is challenging because of its poor soft tissue coverage. Reconstruction using internal fixation carry a risk of infection. Furthermore, large segmental defect often require large amount of autologous bone graft. However, ilizarov bone transport is a complex reconstruction procedure that is associated with a lot of complications and treatment failures. The aim of this study is to review the outcome of patients treated for segmental tibial defect in Advanced Trauma and Limb Reconstruction Unit in our hospital. Methodology This is a retrospective study of 36 patients who have underwent bone transport from January 2006 to December 2018. There were 32 males and 4 females with a mean age of 33.2 years old (range 15 to 65). Fifteen defect in the distal, 13 midshaft and 8 proximal tibia. Nineteen cases due to open fractures, 9 implant related infection, 3 atrophic non-union, 3 septic non-union and 2 osteomyelitis. Four patients have underlying diabetes mellitus, 1 HIV and 1 hepatitis B infection. Fifteen patients had a local flap and 1 had a free flap surgery to cover the soft tissue defect. The mean size of bone defect is 4.8 cm (range 2- 10 cm). The clinical and functional status was assessed using the ASAMI criteria. Results Two patients were not able to complete the treatment because cannot tolerate the ilizarov external fixation. Thirty (88%) patients achieve union with a meant time of 12 months (range 5 to 30 month). Four patients develop non-union. Two underwent amputation, 1 free fibular transfer and 1 underwent bone transport with the Monorail external fixation. Twenty three achieve excellent, 4 good and 3 fair bone results. Eleven achieve excellent, 17 good and 1 each fair and poor functional results. Conclusions Ilizarov bone transport able to salvage nearly 90% of segmental tibial defect with more than 90% excellence and good functional results. Patients’ selection and close monitoring are important to achieve successful treatment.
format	Conference or Workshop Item
author	Mohd Yusof, Nazri Sulong, Ahmad Fadzli Nik Abdul Adel, Nik Alyani
author_facet	Mohd Yusof, Nazri Sulong, Ahmad Fadzli Nik Abdul Adel, Nik Alyani
author_sort	Mohd Yusof, Nazri
title	Ilizarov bone transport for the treatment of segmental tibial bone defect
title_short	Ilizarov bone transport for the treatment of segmental tibial bone defect
title_full	Ilizarov bone transport for the treatment of segmental tibial bone defect
title_fullStr	Ilizarov bone transport for the treatment of segmental tibial bone defect
title_full_unstemmed	Ilizarov bone transport for the treatment of segmental tibial bone defect
title_sort	ilizarov bone transport for the treatment of segmental tibial bone defect
publishDate	2019
url	http://irep.iium.edu.my/74546/ http://irep.iium.edu.my/74546/1/abstract%20apps.jpeg http://irep.iium.edu.my/74546/25/74546%20programme%20schedule.pdf http://irep.iium.edu.my/74546/31/tibia%20bone%20transportV2.pdf
first_indexed	2023-09-18T21:45:32Z
last_indexed	2023-09-18T21:45:32Z
_version_	1777413424570957824

Ilizarov bone transport for the treatment of segmental tibial bone defect

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