• Bmc Musculoskel Dis · Sep 2015

    Case Reports

    Ilizarov bone transport for the treatment of fibular osteomyelitis: a report of five cases.

    • Peng Yin, Lihai Zhang, Lining Zhang, Tongtong Li, Zhirui Li, Jiantao Li, Jianfeng Zhou, Qi Yao, Qun Zhang, and Peifu Tang.
    • Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing, 100853, P.R. China. yinpeng3904@126.com.
    • Bmc Musculoskel Dis. 2015 Sep 5; 16: 242.

    BackgroundThe objective of this study was to evaluate the effectiveness of the treatment of fibular osteomyelitis by Ilizarov bone transport.MethodsWe retrospectively reviewed 5 patients with fibular osteomyelitis treated by Ilizarov bone transport. Our study included 4 males and 1 female with a mean of age 29.2 years. The average length of the bone defects after radical debridement was 7.6 cm (range 6.5-10 cm).ResultsThe mean follow-up was 24.8 months (range 14-34 months). No patient was lost to follow-up. All the patients had bone union and no recurrence of infection was observed. The mean external fixation time was 8.8 months (range 8-10 months), and the mean external fixation index was 1.18 months/cm (range 0.90-1.43 months/cm). There was no sign of knee or ankle instability by clinical examination in all the patients. According to Association for the Study and Application of the Method of Ilizarov (ASAMI) classification, bone results were excellent in 3 patients, good in 2 patients; functional results were excellent in 3 patients, good in 2 patients.ConclusionsOur study suggested that Ilizarov bone transport may be a good choice for the treatment of fibular osteomyelitis, especially for the patient with distal fibular loss.

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