Ilizarov bone transport combined with the Masquelet technique for bone defects of various etiologies (preliminary results).

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Abstract

Conflict of interest statement: Conflict-of-interest statement: The authors have no conflict of interests. 10. J Int Med Res. 2021 Mar;49(3):3000605211002701. doi: 10.1177/03000605211002701. Ilizarov bone transport to treat infected nonunion of long bones: a multicenter retrospective cohort study. Xie J(1), Zhao G(2), Yasheng T(1), Chen H(3), Amuti N(4), Maimaitirexiati M(4), Yibulayinmu A(4), Cao M(1), Yusufu A(3). Author information: (1)Department of Orthopedic Spine Surgery, Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. (2)Department of Orthopedics, Urumqi Friendship Hospital, Urumqi, Xinjiang, China. (3)Department of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. (4)Department of Orthopedics, The First People's Hospital of Kashgar Area, Kashgar, Xinjiang, China. OBJECTIVE: To examine the efficacy and safety of Ilizarov bone transport in the treatment of infected nonunion of long bones. METHODS: Patients who underwent Ilizarov bone transport for treatment of bone nonunion with chronic osteomyelitis in the three largest regional orthopedic trauma centers in China from July 2013 to July 2018 were retrospectively examined. Treatment results were evaluated with Paley's criteria for bone healing and functional assessment. RESULTS: In total, 189 patients were treated during the study period. The study population comprised 135 male and 54 female patients with an average age of 37.5 years (range, 11-61 years). The patients were followed up for at least 24 months. According to Paley's criteria for bone healing and functional assessment, the bone healing results were excellent in 115 (61%) patients, good in 31 (16%), fair in 21 (11%), and poor in 22 (12%). The functional evaluation results were excellent in 76 (40%) patients, good in 65 (34%), fair in 22 (11%), poor in 26 (14%). CONCLUSION: Infected nonunion of long bones can be effectively and safely treated with Ilizarov bone transport. DOI: 10.1177/03000605211002701 PMCID: PMC8166389