Clinical Orthopaedics and Related Research · 1992 · 239 citations · 0 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryBone AugmentationBone GraftingRegenerative MedicineBone Defect ReconstructionBone Graft ComplicationsBone ReconstructionBone RegenerationLimb Salvage SurgerySegmental Bone TransportBone Defect RepairBone Segment LengthOsseous Defect ReconstructionProcedure ComplicationsRegenerate Bone FormationSegmental Bone Defect ManagementSegmental Bone Defect RepairSegmental Bone Transport Systems
Seventeen patients with segmental skeletal defects were managed with the Ilizarov intercalary bone transport method, whereby an osseous defect is eliminated by elongating one fragment. On average, the regenerate new bone length measured 5.14 cm, corresponding to the creation of new osseous tissue equaling 13.7% of the bone's original length (range, 4.2%-35%). The average time in fixation was 9.6 months, including 4.8 months to transport the bone fragment throughout the limb. Numerous complications were encountered, most commonly wire-site sepsis and fixator instability. No serous nerve or vessel complications occurred. All but one patient eventually healed, although six patients required bone grafts, five at the target site and one at the level of the regenerate. Most of the difficulties encountered were due to a lack of technical knowledge with the method.