Shorting Resection and Correction of the Leg Length in the Treatment of Posttramatic Tibial Defects Complicated by Osteomyelitis

Background. Severe fractures of the shin bones are often accompanied by formation defects in tibia, suppuration and soft tissue necrosis. In case surgical treatment fractures, infectious complications reach 3.6-9.1%. One methods infected is resection ends tibia with shortening. This operation has proven to be effective fresh fractures. The relevance work due prospects using this technique consequences tibia. Aim study . Improving results patients post-traumatic complicated osteomyelitis performing a shortening simultaneous or sequential correction segment length. Material methods. 65 diaphyseal tibial were analysed. They divided into 2 groups. Group 1 was formed 31 (47.7%) patients, they underwent bone fragments defect zone lengthening at another level. included 34 (52.3%) who without lengthening. all cases, Ilizarov apparatus used as fixator. Results. for assessing size true optimized taking account initial distance between proximal distal after their ends. A regimen developed depending on level localization defect, compared groups assessed. Conclusion. Shortening an osteomyelitis. Depending it advisable carry out according one two possible options. When localized upper middle third isolated form shown. If lower supplement osteotomy