Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame.

This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I-TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I-TSF were compared with 25 patients treated with a conventional circular frame.

Evaluation of an endoscopic procedure for the treatment of docking site nonunion.

Objective: To determine the effectiveness of an endoscopic docking site surgery during the use of a classic bone transport technique for dealing with bone loss.

Design: Retrospective comparative study.

Setting: Level I trauma center.