Salvage of complicated diaphyseal femoral fractures by 1-stage open debridement and Ilizarov technique.

Abstract:

:Infected femoral shaft fractures and femoral nonunions are difficult to manage. In the presence of associated segmental bony defects, limb length discrepancy, or complex deformities, Ilizarov techniques seem to be the ideal choice for management. We would like to describe small case series of 3 patients managed using Ilizarov techniques: the first patient with infected nonunion of a femoral shaft fracture over an interlocking nail, the second patient with infected femoral shaft plating, and the third with longstanding femoral shaft hypertrophic nonunion who had multiple surgeries and presented at the end with a broken intramedullary nail. The principal management in all cases was a single-stage aggressive debridement and fixation using circular Ilizarov external fixator or hybrid external fixator followed by either segmental bone transport for the first 2 patients or monofocal compression distraction for the third patient. The end result was clinical and radiological union in all patients with equalization of the limb length.

journal_name

Ann Plast Surg

authors

Shiha A,Hafez AR,Kenawey M

doi

10.1097/SAP.0b013e3182a795f0

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

519-21

issue

5

eissn

0148-7043

issn

1536-3708

pii

00000637-201311000-00018

journal_volume

71

pub_type

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