IL TRATTAMENTO DELLE PSEUDOARTROSI INFETTE DI TIBIA CON PERDITA DI SOSTANZA OSSEA E DEI TESSUTI MOLLI MEDIANTE EPIDERMO-FASCIO-OSTEOPLASTICA

Translated title of the contribution: Management of tibial infected nonunions with loss of bone and soft tissues by epidermato-fascial-osteoplasty

R. Mora, F. Paparella, F. Benazzo, L. Ceciliani

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Tibial infected nonunions with loss of bone and soft tissues are still a very serious problem. Classical treatments and Papineau method demand long recovery times and present many possible complications. Good results achieved by compression-distraction methods are described by many authors, but in such series the problem of defect and infection of soft tissues is not completely described. Epidermato-fascial-osteoplastic technique permits a simultaneous bone and soft tissue regeneration, after a large resection of the necrotic and infected bone and soft tissues, without previous sterilization of the purulent foci or coverage of the soft tissues. An accurate debridement is carried out by wide resection of the exposed and infected bone and soft tissues. The wide debridement area is kept open. After metaphyseal corticotomy a gradual bone transport is performed. This connects the two bone ends and also the soft tissues around the bones, since the repositioning fragment trails the fascia and skin along with it. Results obtained in 8 patients treated with this technique are very satisfactory and allow to consider this methods as a valid alternative to traditional treatments.

Original languageItalian
Pages (from-to)453-455
Number of pages3
JournalMinerva Ortopedica e Traumatologica
Volume46
Issue number9
Publication statusPublished - 1995

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Bone and Bones
Debridement
Soft Tissue Infections
Fascia
Regeneration
Skin
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "IL TRATTAMENTO DELLE PSEUDOARTROSI INFETTE DI TIBIA CON PERDITA DI SOSTANZA OSSEA E DEI TESSUTI MOLLI MEDIANTE EPIDERMO-FASCIO-OSTEOPLASTICA",
abstract = "Tibial infected nonunions with loss of bone and soft tissues are still a very serious problem. Classical treatments and Papineau method demand long recovery times and present many possible complications. Good results achieved by compression-distraction methods are described by many authors, but in such series the problem of defect and infection of soft tissues is not completely described. Epidermato-fascial-osteoplastic technique permits a simultaneous bone and soft tissue regeneration, after a large resection of the necrotic and infected bone and soft tissues, without previous sterilization of the purulent foci or coverage of the soft tissues. An accurate debridement is carried out by wide resection of the exposed and infected bone and soft tissues. The wide debridement area is kept open. After metaphyseal corticotomy a gradual bone transport is performed. This connects the two bone ends and also the soft tissues around the bones, since the repositioning fragment trails the fascia and skin along with it. Results obtained in 8 patients treated with this technique are very satisfactory and allow to consider this methods as a valid alternative to traditional treatments.",
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year = "1995",
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AU - Mora, R.

AU - Paparella, F.

AU - Benazzo, F.

AU - Ceciliani, L.

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N2 - Tibial infected nonunions with loss of bone and soft tissues are still a very serious problem. Classical treatments and Papineau method demand long recovery times and present many possible complications. Good results achieved by compression-distraction methods are described by many authors, but in such series the problem of defect and infection of soft tissues is not completely described. Epidermato-fascial-osteoplastic technique permits a simultaneous bone and soft tissue regeneration, after a large resection of the necrotic and infected bone and soft tissues, without previous sterilization of the purulent foci or coverage of the soft tissues. An accurate debridement is carried out by wide resection of the exposed and infected bone and soft tissues. The wide debridement area is kept open. After metaphyseal corticotomy a gradual bone transport is performed. This connects the two bone ends and also the soft tissues around the bones, since the repositioning fragment trails the fascia and skin along with it. Results obtained in 8 patients treated with this technique are very satisfactory and allow to consider this methods as a valid alternative to traditional treatments.

AB - Tibial infected nonunions with loss of bone and soft tissues are still a very serious problem. Classical treatments and Papineau method demand long recovery times and present many possible complications. Good results achieved by compression-distraction methods are described by many authors, but in such series the problem of defect and infection of soft tissues is not completely described. Epidermato-fascial-osteoplastic technique permits a simultaneous bone and soft tissue regeneration, after a large resection of the necrotic and infected bone and soft tissues, without previous sterilization of the purulent foci or coverage of the soft tissues. An accurate debridement is carried out by wide resection of the exposed and infected bone and soft tissues. The wide debridement area is kept open. After metaphyseal corticotomy a gradual bone transport is performed. This connects the two bone ends and also the soft tissues around the bones, since the repositioning fragment trails the fascia and skin along with it. Results obtained in 8 patients treated with this technique are very satisfactory and allow to consider this methods as a valid alternative to traditional treatments.

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