Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 9-10, Pages: 643-646
https://doi.org/10.2298/SARH1010643J
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Treatment of septic pseudoarthrosis of tibia by Ilizarov method: Case report
Jovanović Vesna
Vukašinović Zoran
Šešlija Igor
Živković Zorica
Introduction. Septic pseudoarthroses of the tibia represent a relatively
frequent complication of open fractures with a large soft tissue damage. They
may be localized: in the proximal metaphysis, between the proximal and middle
thirds, between middle and distal thirds, in the distal metaphysis. Case
Outline. A case of a 52-year-old man with open fracture of the left tibia is
presented. He fell from the height of 30 meters. The external fixation
according to Mitkovic was performed in another institution. The patient was
referred to our hospital nine months after the accident, with clear clinical
and radiological signs of septic pseudoarthrosis of the tibia. The resection
of septic pseudoarthrosis was done two weeks after admission. Three weeks
later, another operation was performed, bilocal alternating
distractive-compressive osteosynthesis according to Ilizarov. After eleven
months Ilizarov frame was removed, with clinical, radiological signs of
healing of pseudoarthrosis and complete curing of the infection. Five months
after removal of the frame, the patient was fully anatomically and
functionally recovered. Conclusion. Being satisfied with the achieved results
and encouraged with the data from the literature, we recommend this method as
the method of choice for the treatment of pseudoarthrosis of the tibia. The
advantage consists of curing the infection using the natural bactericide
power of the tissue and curing the bone defect, at the same time, and
finally, producing the equalization of the legs.
Keywords: tibia, septic pseudoarthrosis, resection, Ilizarov method
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