1. The use of Papineau technique for the treatment of diabetic and non-diabetic lower extremity pseudoarthrosis and chronic osteomyelitis.
- Author
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Polyzois, Vasilios D., Galanakos, Spyridon P., Tsiampa, Vassiliki A., Papakostas, Ioannis D., Kouris, Nikiforos K., Avram, Adrian M., Papalois, Apostolos E., and Ignatiadis, Ioannis A.
- Subjects
PSEUDARTHROSIS ,DIABETES complications ,TREATMENT of diabetes ,OSTEOMYELITIS ,FRACTURE fixation ,BONE lengthening (Orthopedics) ,CLOSED fractures ,LIMB salvage - Abstract
The treatment of 31 consecutive adult patients, ages 25-67 years with chronic draining osteomyelitis (12 cases) or infected pseudarthrosis (19 cases) by the Papineau technique was retrospectively reviewed. The initial injury was an open fracture in 24 patients and a closed fracture in 7 patients. In all cases an Ilizarov circular external fixation device was used for the stabilization of the fracture or for bone lengthening. Mean follow-up for the group was 20 months (range, 10 months to 5 years) and there was successful limb salvage in all cases with eradication of infection and bone consolidation was achieved. The Ilizarov circular external fixation was removed at a mean of 18 weeks (range, 14-24 weeks). The mean time to bone union was 5 months (range, 4-10 months). All patients returned to their pre-treatment activity levels or better. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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