Biomechanically validated transosseus fixation in patients with femur pseudarthrosis complicated by chronic osteomyelitis

Tsiskarashvili A.V.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Zhadin A.V.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Kuzmenkov K.A.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Bukhtin K.M.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Melikova R.E.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Biomechanically validated transosseus fixation in patients with femur pseudarthrosis complicated by chronic osteomyelitis

Authors:

Tsiskarashvili A.V., Zhadin A.V., Kuzmenkov K.A., Bukhtin K.M., Melikova R.E.

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Journal: N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(3-4): 71‑78

DOI: 10.17116/vto201803-04171

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To cite this article:

Tsiskarashvili AV, Tsiskarashvili AV, Zhadin AV, et al. . Biomechanically validated transosseus fixation in patients with femur pseudarthrosis complicated by chronic osteomyelitis. N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(3-4):71‑78. (In Russ.)
https://doi.org/10.17116/vto201803-04171

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The aim of the study is to evaluate results of follow-up in patients with femur pseudarthrosis complicated by chronic osteomyelitis who underwent biomechanically validated transosseus fixation. Materials and methods. A retrospective study of transosseus fixation in 72 patients with femur pseudarthrosis complicated by chronic osteomyelitis was conducted. Described fixation was completed according to the biomechanical fixation conception from 2011 to 2017. Hybrid external fixator was applied to 38 (52,8%) patients, rod-based external fixator – to 34 (47,2%). Results. Full bone consolidation and pyoinflammatory process remission in treated femur bone is achieved in all cases. Results classified as excellent were acquired in 21 patients (29,5%), good – in 41 (57,7%), satisfactory – in 7 (9,8%), unsatisfactory – in 2 (3%). patients results were classified as unsatisfactory because of lacking of weight-bearing ability of the leg because of other reasons not related to consolidation. Conclusion. In patients with infected femur pseudarthroses external fixation using biomechanical conception allows to provide up to 97% positive clinical outcomes of the treatment.

Keywords:

femur

pseudartrosis

chronic osteomyelitis

bone defect

biomechanical conception

transosseus fixation

Authors:

Tsiskarashvili A.V.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Zhadin A.V.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Kuzmenkov K.A.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Bukhtin K.M.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

Melikova R.E.

National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russian Federation

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