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 language | Italian |
|---|---|
| Pages (from-to) | 453-455 |
| Number of pages | 3 |
| Journal | Minerva Ortopedica e Traumatologica |
| Volume | 46 |
| Issue number | 9 |
| Publication status | Published - 1995 |
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ASJC Scopus subject areas
- Surgery
Cite this
IL TRATTAMENTO DELLE PSEUDOARTROSI INFETTE DI TIBIA CON PERDITA DI SOSTANZA OSSEA E DEI TESSUTI MOLLI MEDIANTE EPIDERMO-FASCIO-OSTEOPLASTICA. / Mora, R.; Paparella, F.; Benazzo, F.; Ceciliani, L.
In: Minerva Ortopedica e Traumatologica, Vol. 46, No. 9, 1995, p. 453-455.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - IL TRATTAMENTO DELLE PSEUDOARTROSI INFETTE DI TIBIA CON PERDITA DI SOSTANZA OSSEA E DEI TESSUTI MOLLI MEDIANTE EPIDERMO-FASCIO-OSTEOPLASTICA
AU - Mora, R.
AU - Paparella, F.
AU - Benazzo, F.
AU - Ceciliani, L.
PY - 1995
Y1 - 1995
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.
KW - infected nonunions
UR - http://www.scopus.com/inward/record.url?scp=0028840850&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028840850&partnerID=8YFLogxK
M3 - Articolo
AN - SCOPUS:0028840850
VL - 46
SP - 453
EP - 455
JO - Minerva Ortopedica
JF - Minerva Ortopedica
SN - 0026-4911
IS - 9
ER -