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

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...

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Published inInternational orthopaedics Vol. 36; no. 4; pp. 817 - 825
Main Authors Lovisetti, Giovanni, Sala, Francesco, Miller, Anna N., Thabet, Ahmed M., Zottola, Vincenzo, Capitani, Dario
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer-Verlag 01.04.2012
Subjects
Adult
Aged
Bone Lengthening
Cost-Benefit Analysis
Female
Fracture Fixation, Internal - economics
Fracture Fixation, Internal - methods
Fracture Healing
Fractures, Ununited - therapy
Humans
Male
Manipulation, Orthopedic
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgical Procedures
Original Paper
Orthopedics
Osteogenesis - physiology
Osteogenesis, Distraction - economics
Osteogenesis, Distraction - methods
Osteotomy
Reoperation
Reproducibility of Results
Retrospective Studies
Tibial Fractures - therapy
Young Adult
Docking Site
Simple Compression
Bone Transport
Closed Procedure
Intramedullary Nailing
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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.
AbstractList 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. 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. 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. The simple compression procedure requires less invasive surgery and is probably less demanding and more cost-effective in short transports.
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.
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.PURPOSEThis 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.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.METHODSThirteen 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.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.RESULTSConsolidation 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.The simple compression procedure requires less invasive surgery and is probably less demanding and more cost-effective in short transports.CONCLUSIONSThe simple compression procedure requires less invasive surgery and is probably less demanding and more cost-effective in short transports.
Author Miller, Anna N.
Thabet, Ahmed M.
Sala, Francesco
Zottola, Vincenzo
Lovisetti, Giovanni
Capitani, Dario
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Keywords Docking Site
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Bone Transport
Closed Procedure
Intramedullary Nailing
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Snippet Purpose This retrospective review follows 31 tibial nonunions to compare union at the docking site using closed versus open strategies. In this cohort of...
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...
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StartPage 817
SubjectTerms Adult
Aged
Bone Lengthening
Cost-Benefit Analysis
Female
Fracture Fixation, Internal - economics
Fracture Fixation, Internal - methods
Fracture Healing
Fractures, Ununited - therapy
Humans
Male
Manipulation, Orthopedic
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgical Procedures
Original Paper
Orthopedics
Osteogenesis - physiology
Osteogenesis, Distraction - economics
Osteogenesis, Distraction - methods
Osteotomy
Reoperation
Reproducibility of Results
Retrospective Studies
Tibial Fractures - therapy
Young Adult
Title Clinical reliability of closed techniques and comparison with open strategies to achieve union at the docking site
URI https://link.springer.com/article/10.1007/s00264-011-1260-4
https://www.ncbi.nlm.nih.gov/pubmed/21505801
https://www.proquest.com/docview/948914387
https://pubmed.ncbi.nlm.nih.gov/PMC3311812
Volume 36
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