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International Orthopaedics
Published in: International Orthopaedics 4/2012

01-04-2012 | Original Paper

Clinical reliability of closed techniques and comparison with open strategies to achieve union at the docking site

Authors: Giovanni Lovisetti, Francesco Sala, Anna N. Miller, Ahmed M. Thabet, Vincenzo Zottola, Dario Capitani

Published in: International Orthopaedics | Issue 4/2012

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Abstract

Purpose

This retrospective review follows 31 tibial nonunions to compare union at the docking site using closed versus open strategies. In this cohort of patients, all but five were infected nonunions.

Methods

Thirteen patients initially treated with single compression were compared with 18 patients treated by open revision of the docking site. In the single compression group, an average of 6.5 cm of bone was resected and index lengthening was 2.04. In the open revision group, a mean of 9.4 cm was resected and the index lengthening was 1.73.

Results

Consolidation at the docking site occurred in all subjects in both groups. There was no statistical difference between the two groups. Conclusive evidence of superiority of one modality of treatment over the other cannot be drawn from our data.

Conclusions

The simple compression procedure requires less invasive surgery and is probably less demanding and more cost-effective in short transports.
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Metadata
Title
Clinical reliability of closed techniques and comparison with open strategies to achieve union at the docking site
Authors
Giovanni Lovisetti
Francesco Sala
Anna N. Miller
Ahmed M. Thabet
Vincenzo Zottola
Dario Capitani
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1260-4

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