two-stage surgical treatment for non-:union: of a shortened osteoporotic femur

نویسندگان

galal zaki said department of orthopedic surgery, faculty of medicine, assiut university hospitals, assiut, egypt; department of orthopedic surgery, faculty of medicine, assiut university hospitals, 110, 71111 assiut, egypt. tel.: +20-882334943, fax: +20-882400435

osama ahmed farouk department of orthopedic surgery, faculty of medicine, assiut university hospitals, assiut, egypt

hatem galal said department of orthopedic surgery, faculty of medicine, assiut university hospitals, assiut, egypt

چکیده

introduction we report a case of non-:union: with severe shortening of the femur following diaphysectomy for chronic osteomyelitis. case presentation a boy, aged 16 years presented with a dangling and excessively short left lower limb. he was using an elbow crutch in his right hand to help him walk. he had a history of diaphysectomy for chronic osteomyelitis at the age of 9. examination revealed a freely mobile non-:union: of the left femur. the femur was the seat of an 18 cm shortening and a 4 cm defect at the non-:union: site; the knee joint was ankylosed in extension. the tibia and fibula were 10 cm short. considering the extensive shortening in the femur and tibia in addition to osteoporosis, he was treated in two stages. in stage i, the femoral non-:union: was treated by open reduction, internal fixation and iliac bone grafting. the patient was then allowed to walk with full weight bearing in an extension brace for 7 months. in stage ii, equalization of leg length discrepancy (lld) was achieved by simultaneous distraction of the femur and tibia by unilateral frames. at the 6 month follow- up, he was fully weight bearing without any walking aid, with a heel lift to compensate the 1.5 cm shortening. three years later he reported that he was satisfied with the result of treatment and was leading a normal life as a university student. conclusions two-stage treatment succeeded to restore about 20 cm of the femoral shortening in a severely osteoporotic bone. it has also succeeded in reducing the treatment time of the external fixator.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Two-Stage Surgical Treatment for Non-Union of a Shortened Osteoporotic Femur

INTRODUCTION We report a case of non-union with severe shortening of the femur following diaphysectomy for chronic osteomyelitis. CASE PRESENTATION A boy, aged 16 years presented with a dangling and excessively short left lower limb. He was using an elbow crutch in his right hand to help him walk. He had a history of diaphysectomy for chronic osteomyelitis at the age of 9. Examination reveale...

متن کامل

Two-stage surgical treatment for septic non-union of the forearm

AIM To investigate the effectiveness of a two-stage surgical procedure for the treatment of septic forearm non-union. METHODS Septic non-unions are rare complications of forearm fractures. When they occur, they modify the relationship between forearm bones leading to a severe functional impairment. Treatment is challenging and surgery and antibiotic therapy are required to achieve infection r...

متن کامل

Ilizarov treatment for aseptic delayed union or non-union after reamed intramedullary nailing of the femur.

The authors reviewed eight patients treated with an Ilizarov frame for a non-infected delayed union or non-union after reamed intramedullary nailing of the femoral diaphysis. The hardware was completely removed in all cases but two, in which the distal fragment of a broken nail was left in situ. In five cases without shortening, progressive compression was applied. In the other three patients a...

متن کامل

Two-stage Total Knee Arthroplasty for Treatment of Surgical Failure of Septic Arthritis in Degenerative Knee Joints

Background: The ultimate goal of the treatment of infectious knee arthritis is to protect the articular cartilage fromadverse effects of infection. Treatment, however, is not always hundred percent successful and has a 12% failurerate. Persistent infection is more likely to happen in elderly patients and those with underlying joint diseases,particularly osteoarthritis. Eradica...

متن کامل

PAUWELS\' OSTEOTOMY FOR FEMORAL NECK NON-:union:

During a period of nine years (1982-1991), Pauwels' osteotomy was performed for 38 cases of femoral neck non-:::union:::. 32 led to consolidation with one osteotomy (84%) and 6 failed (3 needed revision (92%), one died and two were lost to follow-up). The length of follow-up was 2-11 years, the average time of non-:::union::: 12 months (ranging from 4 months to 13 years) and the mean patien...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
trauma monthly

جلد ۱۸، شماره ۱، صفحات ۳۲-۶

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023