• Acta Orthop Scand · Aug 1988

    Large segmental necrosis of the tibia with deep infection after open fracture.

    • A Barquet and R Masliah.
    • University Department, Insurance Bank Medical Center, Montevideo, Uruguay.
    • Acta Orthop Scand. 1988 Aug 1; 59 (4): 443-6.

    AbstractFifteen patients with large segmental necrosis of the tibia with deep infection, following open fractures, were treated according to the Burri-Papineau protocol. After radical debridement, the segmental bone defects averaged 8.4 (5-15) cm. Necrectomy, external fixation, and open cancellous grafting, in a two-stage procedure, gave infection control in 14 cases and bone healing in 12. Additional procedures, i.e., plating and posterolateral bone grafting, provided union in another 2 cases. One patient underwent amputation. Functional results in the other 14, after a follow-up averaging 4 years, were good in 9 cases, fair in 3, and poor in 2.

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