The causes for the worsening of treatment results in patients with infected pseudarthroses of the tibia in recent years

Under analysis were results of treatment of 141 patients with infected pseudoarthroses of the tibia. Among them there were 10 women and 131 men aged from 18 to 62 years. The long-term results were followed-up during the period from 2 to 20 years. The analysis allowed a supposition that a combination...

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Published in:	Vestnik hirurgii im. I.I. Grekova Vol. 158; no. 2; p. 47
Main Authors:	Shafit, S E, Aleĭnikov, A V, Ezhov, Iu I, Keĭl'man, V K, Baronin, A A, Anisimov, A E, Ivanov, A M, Selivanovskiĭ, S M, Samoĭlov, V A
Format:	Journal Article
Language:	Russian
Published:	Russia (Federation) 1999
Subjects:	Adolescent Adult Female Follow-Up Studies Fracture Healing Humans Male Middle Aged Pseudarthrosis - complications Pseudarthrosis - pathology Pseudarthrosis - surgery Recurrence Retrospective Studies Tibial Fractures - complications Tibial Fractures - pathology Tibial Fractures - surgery Time Factors Treatment Outcome Wound Infection - etiology Wound Infection - pathology Wound Infection - surgery
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Summary:	Under analysis were results of treatment of 141 patients with infected pseudoarthroses of the tibia. Among them there were 10 women and 131 men aged from 18 to 62 years. The long-term results were followed-up during the period from 2 to 20 years. The analysis allowed a supposition that a combination of tibia segment resection and plasty with local tissues completed by suturing the wound, drainage and external fixation with the Ilizarov device leads to deterioration of the outcomes. A careful approach to treatment of such patients including the division of treatment into the stages of debridement and reconstruction seems to be more productive.
ISSN:	0042-4625