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The use of Papineau technique for the treatment of diabetic and non-diabetic lower extremity pseudoarthrosis and chronic osteomyelitis. | LitMetric

AI Article Synopsis

  • - A study was conducted on 31 adults (ages 25-67) with chronic draining osteomyelitis or infected pseudarthrosis, focusing on the outcomes of the Papineau technique using an Ilizarov external fixation device for stabilization.
  • - Patients had either open (24) or closed (7) fractures; the average follow-up time was 20 months, showcasing successful infection eradication and bone consolidation in all cases.
  • - The Ilizarov device was typically removed after about 18 weeks, and bone union was achieved in an average of 5 months, allowing all patients to return to their previous activity levels or improve upon them.

Article Abstract

The treatment of 31 consecutive adult patients, ages 25-67 years with chronic draining osteomyelitis (12 cases) or infected pseudarthrosis (19 cases) by the Papineau technique was retrospectively reviewed. The initial injury was an open fracture in 24 patients and a closed fracture in 7 patients. In all cases an Ilizarov circular external fixation device was used for the stabilization of the fracture or for bone lengthening. Mean follow-up for the group was 20 months (range, 10 months to 5 years) and there was successful limb salvage in all cases with eradication of infection and bone consolidation was achieved. The Ilizarov circular external fixation was removed at a mean of 18 weeks (range, 14-24 weeks). The mean time to bone union was 5 months (range, 4-10 months). All patients returned to their pre-treatment activity levels or better.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284281PMC
http://dx.doi.org/10.3402/dfa.v2i0.5920DOI Listing

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