scholarly journals Outcome of limb reconstruction system in tibial infected non-union and open tibial diaphysial fracture with bone loss

2020 ◽  
Author(s):  
Brijesh Sharma ◽  
Rajendra Kumar Shakunt ◽  
Jaydeep Patel ◽  
Chandra Prakash Pal
Keyword(s):  
Bone Loss ◽  
Limb Reconstruction ◽  
Non Union

Limb reconstruction after traumatic bone loss

Injury ◽  
2017 ◽  
Vol 48 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Mukai Chimutengwende-Gordon ◽  
Abubaker Mbogo ◽  
Wasim Khan ◽  
Richard Wilkes
Keyword(s):  
Bone Loss ◽  
Limb Reconstruction

scholarly journals Proximal femoral reconstruction with modular megaprostheses in non-oncological patients

2021 ◽  
Author(s):  
Kevin Döring ◽  
Klemens Vertesich ◽  
Luca Martelanz ◽  
Kevin Staats ◽  
Christoph Böhler ◽  
...  
Keyword(s):  
Bone Loss ◽  
Aseptic Loosening ◽  
Periprosthetic Fracture ◽  
Joint Infection ◽  
Revision Arthroplasty ◽  
Complication Rates ◽  
Non Union ◽  
Prosthetic Joint ◽  
One Year ◽  
Proximal Femoral Reconstruction

Abstract Introduction Multiple revision hip arthroplasties and critical trauma might cause severe bone loss that requires proximal femoral replacement (PFR). The aim of this retrospective study was to analyse complication- and revision-free survivals of patients who received modular megaprostheses in an attempt to reconstruct massive non-neoplastic bone defects of the proximal femur. Questions/purposes (1) What were general complication rates and revision-free survivals following PFR? (2) What is the incidence of complication specific survivals? (3) What were risk factors leading to a diminished PFR survival? Materials and methods Twenty-eight patients with sufficient follow-up after receiving a modular proximal femoral megaprosthesis were identified. The indications for PFR included prosthetic joint infection (PJI), periprosthetic fracture, aseptic loosening, non-union and critical femoral fracture. Complications were grouped according to the ISOLS-classification of segmental endoprosthetic failure by Henderson et al. Results Overall, the complication-free survival was 64.3% at one year, 43.2% at five years and 38.4% at ten years, with 16 patients (57%) suffering at least one complication. Complications were dislocation in eight patients (29%), PJI in 6 patients (21%), periprosthetic fracture in five patients (18%), and aseptic loosening in six patients (21%). Prosthesis stem cementation showed a lower risk for revision in a cox proportional hazard model (95% CI 0.04–0.93, HR 0.2, p = 0.04). Conclusion PFR with modular megaprostheses represents a viable last resort treatment with high complication rates for patients with severe proximal femoral bone loss due to failed arthroplasty or critical fractures. In revision arthroplasty settings, PFR cementation should be advocated in cases of impaired bone quality.

scholarly journals Functional outcome of management of infected non-union of humerus by limb reconstruction system (LRS)

2017 ◽  
Vol 3 (1a) ◽  
pp. 33-39
Author(s):  
Hiranya Kumar ◽  
◽  
Siddalingeshwar Vithoba Honnur ◽  
Manoj Kumar Shukla ◽  
◽  
...  
Keyword(s):  
Functional Outcome ◽  
Limb Reconstruction ◽  
Non Union

Acute Compression Fracture of the Scaphoid

1994 ◽  
Vol 19 (6) ◽  
pp. 757-758
Author(s):  
G. E. B. GIDDINS ◽  
J. WILSON-MACDONALD
Keyword(s):  
Bone Loss ◽  
Scaphoid Fracture ◽  
Compression Fracture ◽  
Radiological Sign ◽  
Non Union ◽  
Compression Fractures

A previously unreported radiological sign of a sclerotic margin to an acute displaced scaphoid fracture due to bone compression is reported. This should to be recognized because of the implied bone loss and hence risks of both mal-union and non-union, and because of the implication that volar compression fractures of the scaphoid, may occur.

scholarly journals Acetabular Revision with Bone Grafting and Cementation for Aseptic Loosening after Primary Charnley Low-Friction Hip Arthroplasty with Structural Bulk Autografts

2016 ◽  
Vol 24 (3) ◽  
pp. 328-331
Author(s):  
Riazuddin Mohammed ◽  
Efstathios Drampalos ◽  
Paul Siney ◽  
Bodo Purbach ◽  
Peter Kay
Keyword(s):  
Bone Loss ◽  
Aseptic Loosening ◽  
Hip Arthroplasty ◽  
Bone Grafting ◽  
Acetabular Revision ◽  
Low Friction ◽  
Ectopic Ossification ◽  
Term Outcome ◽  
Non Union ◽  
The Mean

Purpose To review the outcome of acetabular revision with bone grafting and cementation for aseptic loosening after primary Charnley low-friction hip arthroplasty with structural bulk autografts in 15 patients. Methods Records were reviewed for 3 men and 12 women aged 31 to 72 (mean, 53) years who underwent acetabular revision with bone grafting and cementation for aseptic loosening at a mean of 12.4 (range, 6.6–20.3) years after primary Charnley low-friction hip arthroplasty with superolateral structural bulk autografts from the femoral head for dysplastic hip (n=14) or bone loss secondary to acetabular fracture (n=1). Results After a mean follow-up of 6.7 (range, 1.1–14.5) years, the mean Merle d'Aubigné and Postel score improved from 8.55 to 16.5. Bridging trabeculae was noted in 10 hips and graft remodelling in 5 hips. Five hips had ectopic ossification of Brooker grade 1 to 2. The mean hip centre of rotation was 21.6 (range, 16.2–30.6) mm. Two women required re-revision for aseptic loosening of the acetabulum after 8.5 and 6.6 years. The first one underwent re-revision with solid allograft for superolateral deficiency of the acetabulum. The second one underwent re-revision with solid and morselised bone allografts for loosened acetabulum. One patient had superior migration of the acetabulum for 9 mm at year 2, but it was asymptomatic. One patient had a dislocation that was reduced with manipulation under anaesthesia. Three patients had trochanteric non-union and presented with lateral thigh pain and tenderness, but no further surgery was performed. Conclusion The medium-term outcome of acetabular revision with bone grafting and cementation is satisfactory. Repeat bone grafting is required to restore the anatomic acetabular position and bone loss secondary to acetabular loosening.

scholarly journals Treatment of Non-Union and Bone Loss of Tibial Pilon

10.5772/62664 ◽  
2016 ◽  
Author(s):  
Giorgio Maria Calori ◽  
Massimiliano Colombo ◽  
Emilio Mazza ◽  
Miguel Simon Bucci ◽  
Piero Fadigati ◽  
...  
Keyword(s):  
Bone Loss ◽  
Non Union ◽  
Tibial Pilon

scholarly journals Prospective Evaluation of Role of Limb Reconstruction System (Rail External Fixator) in Open Fractures and Infected Non-union of Femur

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hemant Singh Chahar ◽  
Mayur Gupta ◽  
Vinod Kumar ◽  
Rohit Yadav ◽  
Jaydeep Patel ◽  
...  
Keyword(s):  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Case Series ◽  
Functional Results ◽  
Open Fractures ◽  
Long Bone ◽  
Limb Reconstruction ◽  
Non Union ◽  
Femur Fractures

Introduction: Severe open fractures continue to be a nightmare for orthopedicians even with use of more accepted line of treatment. Open fractures and infected non-union of femur bone are not infrequently seen in orthopedic wards as femur is the most common long bone injured. We present a case series of 14 such patients treated successfully with limb reconstruction system enabling recovery to pre-injury status and activities. Case Series: The present study was done to access the role of limb reconstruction system in the management of open femur fractures and in infected non-union with modifications to meet the requirements of each case. We viewed the results of treatment of 14 cases of late presentation with complicated open femur fractures and infected non-unions. Average time of fixator removal was 4 months–24 months. Average follow-up duration was 18 months (range 6?36 months). Evaluation of results was based on ASAMI criteria. The excellent bone results were obtained in 85.72% of cases while 7.14% showed good and 7.14% were poor results. Excellent functional results were observed in 71.43% of cases and 28.57% of cases shows good and fair results. Conclusion: The use of limb reconstruction system is based on compression and distraction technique. It was found to be a simple and effective modality for open injuries in terms of enhanced union rate, rapid rehabilitation, and easy care of soft-tissue injury along with bone loss, thus avoiding multiple surgeries. Keywords: Open fracture, non-union, femur, limb reconstruction system, ASAMI criteria.

scholarly journals Atrophic non-union with severe osteolysis of the radius in a healthy child: successful rescue surgery. Management with fibular allograft and autograft growth factors in a paediatric patient

2021 ◽  
Vol 8 (4) ◽  
pp. 461-466
Author(s):  
Daniele Priano ◽  
Mario D'Errico ◽  
Laura Peretto ◽  
Antonio Memeo
Keyword(s):  
Growth Factors ◽  
Bone Loss ◽  
Bone Biopsy ◽  
Single Case ◽  
Kirschner Wire ◽  
Non Union ◽  
Fibula Graft ◽  
Single Case Report ◽  
Fractures In Children ◽  
Wrong Diagnosis

Background. Forearm fractures are the most frequent fractures in children and adolescents and they are more common in males than in females. In the last 20 years the increase of surgical indications have resulted in more complications, among them the non-unions, considered extremely rare and severe in children, have increased in incidence. We report a successful treatment of misdiagnosed forearm atrophic non-union with severe osteolysis using fibula allograft and autograft growth factors in a previously healthy 4-year-old child. Clinical case. A 4 year-old boy presented to our hospital with massive bone loss and a negative bone biopsy for Gorham-Stout Syndrome, he also showed reactive bone tissue with abnormal vascularity, necrotic osteocartilaginous fragments and giant mononucleated cells. Other lab tests did not show any modifications, so all the causes of paediatric osteolysis were ruled out. He had already undergone a few surgeries on that fracture and we performed others before achieving a good result, obtained with an autologous fibula graft with medullary growth factors stabilized with Kirschner wire. At the follow up 28 months later, the patient showed total consolidation of the initial area of non- union, no neurovascular deficit and no joint deficiency. Discussion. Non-union in paediatric patients is rare and therefore difficult to treat and diagnose. Since all of our tests ruled out the main causes of paediatric non-union, we managed the case with strategies usually applied to adult patients, carefully respecting the growth plates. Conclusion. Although this is a single-case report, it underlines the importance of early diagnosis, the difficulty to rule out some pediatric causes of bone loss and the complicances of a wrong diagnosis/treatment. It also shows that the use of allograft bone and autograft growth factors in a pediatric patient, who has undergone multiple surgeries, can lead to excellent results

scholarly journals Outcomes of mono-lateral limb reconstruction system in infected non-union of long bones

2017 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Anuj Induprakash Gajbhiye ◽  
Sidhant Goyal ◽  
M. Mohan Kumar ◽  
R. Dorai Kumar
Keyword(s):  
External Fixator ◽  
Functional Outcomes ◽  
Wound Dehiscence ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Long Bones ◽  
Additional Advantage ◽  
Limb Reconstruction ◽  
Non Union ◽  
Tract Infections

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">We planned to evaluate functional and radiological outcomes of mono-lateral limb reconstruction system for infected non-union of long bones and to analyse its complications occurring.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">It was a prospective study, conducted during period of September 2015 to August 2017 and consisted of 73 cases of these 60 cases were available for final assessment. This infected non-union were classified by AO classification and were treated with mono lateral limb reconstruction system. All the cases were evaluated by ASAMI criteria for bony and functional outcomes. Our mean follow up period was 16.8 months</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 60 cases of infected non-union with mono-lateral external fixator were followed for mean 16.8 months. According to these ASAMI criteria in our study 26.6% had excellent; 46.6% had good; 16.6% fair; and 10% poor bony outcome. And the functional outcomes were 13.3%, 60%, 16.6%, 10% were excellent, good, fair and poor respectively. <span lang="EN-IN">Among the cases 50% had pin tract infections and loosening. Two cases pin revision was done. Sinus tract got cleared in all cases except 6 where multiple sinus tracts were present and healing did not occur. There were no infections at the corticotomy site. Delay in the consolidation phase was present in all cases. There was no difficulty in transportation of bone. Post-operatively wound dehiscence in eight cases was managed with split skin graft cover. Limb length discrepancy upto 2.5 cms in lower limb was managed with modified footwear with heel and sole raise. Non-healing fractures united in mean 5.9 months after start of treatment. Non-union site united in 90% cases. </span><strong>Conclusions:</strong> <span lang="EN-IN">Mono-lateral limb reconstruction system is efficient method for treatment of infected non-union of long bones. It has an additional advantage of correcting limb length discrepancies which sometimes occur during the course of treatment.</span></p><p class="keywords"><strong>Keywords: </strong>Non-union, Infection, Long bones, Limb reconstruction system, External fixator</p>

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