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.

Calcaneogenesis: the use of tibial bone transport for treatment of massively infected hindfoot defects.

Unlabelled: Massive hindfoot defects which result after se- questrectomy of chronic osteomyelitis (COM) or Trauma or after tumors resection is a real challenge to the treating surgeons with either amputation or other reconstructive plastic procedures as the only available options, Calcaneal osteomyelitis is a major cause with classical surgical management to cure the infection has limited success in preservation of the hindfoot shape, function, and mechanical stability. The surgical procedure reported with the use of the Ilizarov apparatus for partial or total calcaneal OM is aimed to preserve the Hindfoot.

Materials And Methods: We retrospectively reviewed 10 patients which were treated by radical debridement of the infected area, Ilizarov frame application and arthrodesis with bone reconstruction by the Ilizarov apparatus using tibial transport for Hindfoot salvage.

Treatment of postoperative tibial chronic osteomyelitis using bone transport techniques; an observational study.

Purpose: Postoperative Tibial chronic osteomyelitis is one of the most challenging orthopaedic conditions especially when extensive, the anatomy of subcutaneous anteromedial part of the tibia with less soft tissue coverage complicates the situation. The extent of infected tibial part varies in size and duration from one patient to another. We report our experience using Bifocal and Monofocal bone transport techniques with regard to clinical outcome, recurrence of infection and re-fracture rate.

Improved Ilizarov method for management of deformity and ulceration on foot and ankle of spina bifida.

Objective: To analyze the characteristics of foot and ankle deformity with ulceration in patients with spina bifida, to conclude experiences on management with improved Ilizarov method in one stage.

Methods: 77 cases suffering foot and ankle deformity with ulceration of spina bifida were included from January 2008 to June 2019, in which 30 male and 47 female, aged 6-46 years with an average age of 22.86 years.

Closed arthrodesis in infected neuropathic ankles using Ilizarov ring fixation.

Aims: Infected and deformed neuropathic feet and ankles are serious challenges for surgical management. In this study we present our experience in performing ankle arthrodesis in a closed manner, without surgical preparation of the joint surfaces by cartilaginous debridement, but instead using an Ilizarov ring fixator (IRF) for deformity correction and facilitating fusion, in arthritic neuropathic ankles with associated osteomyelitis.

Methods: We retrospectively reviewed all the patients who underwent closed ankle arthrodesis (CAA) in Ilizarov Scientific Centre from 2013 to 2018 (Group A) and compared them with a similar group of patients (Group B) who underwent open ankle arthrodesis (OAA).

Treatment of forearm diaphyseal defect by distraction compression bone transport and continued distraction for radial head reduction: A case study.

Treatment of infected forearm nonunion and defects represents a difficult task for the operating surgeons. Conventional methods like composite and vascularized fibular grafts and the induced membranes filled with cancellous autografts or the Masquelet technique have been reported to be useful and successful, but sometimes it is difficult to predict the outcome and cannot address simultaneous deformities or the need to apply gradual distraction for reduction of a chronically dislocated radial head. Ilizarov technique has an answer for such conditions.

Management of Neurologic Deformity of the Ankle and Foot With Concurrent Osteomyelitis With the Ilizarov Method.

Background: The combination of neurologic deformity of the ankle and foot with osteomyelitis is a therapeutic challenge. We investigated the role of Ilizarov with regard to eradication of infection, correction of deformities and improvement of patient function.

Methods: We retrospectively reviewed 77 patients (77 feet) with neurologic deformity of the ankle and foot with osteomyelitis treated sequentially in 3 stages by Ilizarov method.

Chronic periprosthetic hip infection: micro-organisms responsible for infection and re-infection.

Purpose: This study aimed to delineate the infecting micro-organisms identified at the first-time revision for infected THA, analyze pre-operative versus intra-operative findings, as well as intra-operative ones against re-infection micro-organisms.

Material And Methods: Microbiological laboratory findings were studied in 73 patients (mean age, 51.93 ± 10.

Modified Girdlestone arthroplasty and hip arthrodesis using the Ilizarov external fixator as a salvage method in the management of severely infected total hip replacement.

Background: Resection arthroplasty or hip arthrodesis after total hip replacement (THR) can be used to salvage the limb in case with deep infection and severe bone loss. The Ilizarov fixator provides stability, axial correction, weight-bearing and good fusion rates.

Materials And Methods: We retrospectively assessed the outcomes of 37 patients with severe periprosthetic infection after THR treated between 1999 and 2011.

[Involvement of non-clostridial anaerobic microorganisms in pathogenesis of chronic osteomyelitis].

The microbic pattern of osteomyelitic foci were analyzed in patients with chronic osteomyelitis on the AB Expression Analyzer by the 'BioMerieux" anaerobic cultivation and identification system (France). The osteomyelitis-focus microcenosis was shown to be of the mixed anaerobic-aerobic nature. Anaerobic microorganisms were isolated in 65.

[Dynamics of antibiotic resistance of Staphylococcus aureus isolated from chronic osteomyelitis patients].

The level of antibiotic resistance of 365 S.aureus strains, isolated from chronic osteomyelitis patients in 1990 and 2000, was determined. As revealed in this study, over 10 years the isolation rate of strains adapted to the antimicrobial action of all tested preparations increased in some degree.

[Peripheral hemodynamics in patients with posttraumatic osteomyelitis of leg bones].

Complex examination of peripheral hemodynamics with rheovasography, US-dopplerography and laser flowmetry was carried out in 67 patients with posttraumatic osteomyelitis of leg bones. In these patients before treatment there were sings of functional spasm of popliteal artery, increase of circulatory resistance in the bed of anterior and posterior tibial arteries, decrease of precapillary vessels reactivity by hypertonic type, decrease of capillary elasticity, their spasm, difficulty of blood outflow from great and middle veins. During treatment by transsosseous osteosynthesis main-changed type of blood flow, unstable vascular tones, decrease of greater artery elasticity, hypertoe of pre- and postcapillary small vessels were found.