• Injury · Aug 2016

    Two stage reconstruction of septic non-union of the humerus with the use of circular external fixation.

    • Nando Ferreira, Leonard Charles Marais, and Charles Serfontein.
    • Department of Orthopaedic Surgery, Tygerberg Hospital, University of Stellenbosch, Cape Town, 7505, South Africa. Electronic address: nferreira@sun.ac.za.
    • Injury. 2016 Aug 1; 47 (8): 1713-8.

    AbstractAchieving quiescence in chronic osteomyelitis remains challenging. Wide resection of all infected and necrotic tissues improves the chances of achieving remission of the disease. Extensive debridement however decreases the already compromised bone stock that increases the complexity of reconstruction. We report on the outcome of eight patients with Cierny and Mader stage IV chronic osteomyelitis of the humerus who underwent debridement followed by bone graft and circular fixator application as a second stage procedure. Resolution of infection and humeral shaft union was achieved in all patients. Our study finds that two-stage reconstruction of stage IV chronic osteomyelitis with the use of circular external fixation is effective in achieving infection control and union in these complex cases. Copyright © 2016 Elsevier Ltd. All rights reserved.

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