Limb salvage and functional recovery in infected nonunion of the distal tibia treated with the Ilizarov techniques.

Introduction: Treatment of infected nonunion of the distal juxta-articular tibia is a challenge due to a short distal fragment, deformity, thin soft-tissue envelope, and active infection. There is still no consensus on the approach that is able to maximally salvage the limb and ankle function.

Material And Methods: Infected juxta-articular nonunion of the distal tibia was managed with two Ilizarov techniques, monofocal compression (MC) used in 12 patients and bifocal compression-distraction (BCD) in 6 patients.

Long Bone Defect Filling with Bioactive Degradable 3D-Implant: Experimental Study.

Previously, 3D-printed bone grafts made of titanium alloy with bioactive coating has shown great potential for the restoration of bone defects. Implanted into a medullary canal titanium graft with cellular structure demonstrated stimulation of the reparative osteogenesis and successful osseointegration of the graft into a single bone-implant block. The purpose of this study was to investigate osseointegration of a 3D-printed degradable polymeric implant with cellular structure as preclinical testing of a new technique for bone defect restoration.

Mechanical solutions to salvage failed distraction osteogenesis in large bone defect management.

Introduction: Ilizarov bone transport for large bone defect is challenging and may end in distraction osteogenesis failure.

Material And Methods: Ten forearm and seven tibial defect cases with failed regeneration due to ischaemia during bone transport were studied retrospectively. Mean forearm and tibial defects were 5.