Reconstruction of infected nonunion of the distal humerus by Ilizarov external fixator
| Autor: | Barakat El-Alfy, Medhat Tawfik Maaty, Tamer Niazy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty External fixator External Fixators medicine.medical_treatment Nonunion Distal humerus Ilizarov Technique Young Adult 03 medical and health sciences Fixation (surgical) External fixation 0302 clinical medicine Humans Medicine Humerus Infected nonunion General Environmental Science 030222 orthopedics One stage surgery Bone Transplantation business.industry 030208 emergency & critical care medicine Middle Aged musculoskeletal system medicine.disease Surgery medicine.anatomical_structure Fractures Ununited General Earth and Planetary Sciences Female business |
| Zdroj: | Injury. 52:1418-1422 |
| ISSN: | 0020-1383 |
| Popis: | Background Infected nonunion of the distal humerus represents a true challenge as the fragment is usually small and difficult for fixation. The aim of the present study is to assess the results of Ilizarov external fixator in management of infected nonunion of the distal third humerus. Material and methods Twenty-three patients with infected nonunion of the distal humerus were included in this study. The ages ranged from 19 to 58 years with an average of 35 years. Seventeen cases were males and 6 were females. All patients were treated by radical debridement and application of Ilizarov external fixator in one stage surgery. Results Bony union was achieved in all cases. Bone graft was required in 12 patients with hypotrophic nonunion. The external fixation time ranged from 4 to 9 months with an average of 5.6 months. Infection was controlled in all cases without recurrence during the period of follow up. The complications included pin tract infection in 7 cases, radial nerve injury in one case, elbow stiffness in 4 cases and refracture after frame removal in one case. Conclusion Ilizarov external fixator is effective in management of infected nonunion of the distal humerus. The thin tensioned wires produce good grip in the small or osteoporotic bone fragments. |
| Databáze: | OpenAIRE |
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