Trifocal Ilizarov Bone Transport for a 21-cm Tibial Defect in a Chronic Smoker with Longstanding Osteomyelitis: A Complex Limb Salvage Case.

IF 2 Q2 ORTHOPEDICS
Orthopedic Research and Reviews Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI:10.2147/ORR.S547786
Umar Hayat, Abdulaziz A Abdulaziz, Faisal A Alghamdi, Khalid Ahmad Alnofeay, Hassan Ghazi Ashry, Atif Ahmed Labban
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引用次数: 0

Abstract

This case study presents the successful management of a 21-cm tibial defect in a 38-year-old man smoker with longstanding osteomyelitis using trifocal Ilizarov bone transport. Despite the complexities posed by chronic infection and extensive bone loss, a meticulously planned staged reconstructive protocol involving aggressive debridement, targeted antimicrobial therapy, and advanced bone transport techniques culminated in remarkable limb salvage and functional recovery. Integration of low-intensity pulsed ultrasound (LIPUS) further optimized bone healing in this intricate scenario. This case report addresses these gaps by detailing a successful trifocal Ilizarov strategy augmented with LIPUS in a chronic smoker with an exceptionally large tibial defect.

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三焦Ilizarov骨运输21厘米胫骨缺损的慢性吸烟者长期骨髓炎:一个复杂的肢体抢救病例。
本病例研究介绍了使用三局灶Ilizarov骨运输成功治疗一名患有长期骨髓炎的38岁男性吸烟者21厘米胫骨缺损。尽管慢性感染和大面积骨质流失带来了复杂性,但精心策划的分阶段重建方案包括积极清创、靶向抗菌治疗和先进的骨运输技术,最终实现了显著的肢体保留和功能恢复。在这种复杂的情况下,低强度脉冲超声(LIPUS)的整合进一步优化了骨愈合。本病例报告通过详细介绍一种成功的三焦Ilizarov策略与LIPUS结合治疗一名患有特大胫骨缺损的慢性吸烟者,解决了这些差距。
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来源期刊
Orthopedic Research and Reviews
Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
2.80
自引率
0.00%
发文量
51
审稿时长
16 weeks
期刊介绍: Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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