Common complications and their management in the treatment of chronic osteomyelitis with Ilizarov bone transport technique
Objective:To summarize the common complications and their management methods associated with bone transport technique in the treatment of chronic osteomyelitis.Methods:A retrospective analysis was conducted on the clinical data of 15 patients with osteomyelitis treated with bone transport technique from January 2019 to October 2021.The cohort included 10 males and 5 females,aged 32 to 61 years,with an average age of(44.3±7.8)years.Radical resection of the osteomyelitic bone segment was performed,followed by reconstruction of the defective bone segment using bone transport techniques.Complications during treatment were managed accordingly.Results:All patients were followed up for 10 to 18 months,with an average follow-up duration of(13.8±1.6)months.The complications during the treatment included severe pain occurred in 5 cases due to skin cutting during bone transport,which was relieved by using analgesics and making small incision on metal skin contact surface to reduce skin tension;pin tract infections in 5 cases,which were improved by changing dressings and replacing bone penetrating elements;transporting bone segment drift in 7 cases,which was corrected by adjusting the force line during docking;and clubfoot deformity in 3 cases,which was corrected by the addition of a foot ring;leg length discrepancy in 2 cases and was resolved by bone lengthening post-docking;re-fracture after removal of the external fixator in one case and was treated with plaster fixation for bone healing,knee joint stiffness in 2 cases and was improved by loosening operation and functional exercise;soft tissue defects in one case and were managed by simultaneous soft tissue distraction and closure of the exposed wound during bone transport.Conclusions:Common complications of bone transport in the treatment of osteomyelitis include pain,pin tract infection,deformities,fractures,and soft tissue defects.These complications can be effectively managed with appropriate treatment strategies,leading to satisfactory outcomes.
Ilizarov Bone Transport TechniqueOsteomyelitisComplications
万方数据
维普
