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Published in: BMC Musculoskeletal Disorders 1/2015

Open Access 01-12-2015 | Research article

Ilizarov bone transport for the treatment of fibular osteomyelitis: a report of five cases

Authors: Peng Yin, Lihai Zhang, Lining Zhang, Tongtong Li, Zhirui Li, Jiantao Li, Jianfeng Zhou, Qi Yao, Qun Zhang, Peifu Tang

Published in: BMC Musculoskeletal Disorders | Issue 1/2015

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Abstract

Background

The objective of this study was to evaluate the effectiveness of the treatment of fibular osteomyelitis by Ilizarov bone transport.

Methods

We retrospectively reviewed 5 patients with fibular osteomyelitis treated by Ilizarov bone transport. Our study included 4 males and 1 female with a mean of age 29.2 years. The average length of the bone defects after radical debridement was 7.6 cm (range 6.5-10 cm).

Results

The mean follow-up was 24.8 months (range 14–34 months). No patient was lost to follow-up. All the patients had bone union and no recurrence of infection was observed. The mean external fixation time was 8.8 months (range 8-10 months), and the mean external fixation index was 1.18 months/cm (range 0.90-1.43 months/cm). There was no sign of knee or ankle instability by clinical examination in all the patients. According to Association for the Study and Application of the Method of Ilizarov (ASAMI) classification, bone results were excellent in 3 patients, good in 2 patients; functional results were excellent in 3 patients, good in 2 patients.

Conclusions

Our study suggested that Ilizarov bone transport may be a good choice for the treatment of fibular osteomyelitis, especially for the patient with distal fibular loss.
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Metadata
Title
Ilizarov bone transport for the treatment of fibular osteomyelitis: a report of five cases
Authors
Peng Yin
Lihai Zhang
Lining Zhang
Tongtong Li
Zhirui Li
Jiantao Li
Jianfeng Zhou
Qi Yao
Qun Zhang
Peifu Tang
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2015
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-015-0708-x

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