Local bone transportation for treatment of intercalary defects by the Ilizarov technique. Biomechanical and clinical considerations.

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Abstract

[Indexed for MEDLINE] 6. Arch Orthop Trauma Surg. 2022 Aug;142(8):1923-1932. doi: 10.1007/s00402-021-03935-8. Epub 2021 May 13. Prospective randomized comparison of bone transport versus Masquelet technique in infected gap nonunion of tibia. Rohilla R(1), Sharma PK(2), Wadhwani J(3), Das J, Singh R(3), Beniwal D(1). Author information: (1)Department of Sports Medicine, PGIMS, Pt. B. D. Sharma, Health University, Rohtak, 124001, Haryana, India. (2)Department of Orthopaedics, All India Institute of Medical Sciences, Jodhpur Romana, Mandi Dabwali Road, Bathinda, 151001, Punjab, India. dr.pankajkristwal@gmail.com. (3)Department of Orthopaedics, PGIMS, Pt. B. D. Sharma, Health University, Rohtak, 124001, Haryana, India. AIM: The present prospective randomized study compared the bone transport technique (BT) and Masquelet technique (MT) in the treatment of infected gap non-union of the tibia. PATIENTS AND METHODS: Total 25 patients with infected gap non-union of the tibia with bone gap upto 6 cm were randomised into BT group (group I, 13 patients) and MT (group II, 12 patients). The mean age was 31.77 years in group I and 39.67 years in group II. The mean intra-operative bone gap was 3.92 cm in group I and 3.79 cm in group II. Monolateral fixator was applied in nine patients each in both groups, while four and three fractures were stabilized with ring fixators in group I and II, respectively. Mean follow-up was 31.62 months and 30.42 months in group I and II, respectively. Bone and functional results were compared using the association for the study and application of the method of Ilizarov (ASAMI) criteria. RESULTS: The average fixator period was 9.42 and 16.33 months in group I and II, respectively (p