Original scientific paper
Treatment of Infected Tibial Nonunion with Bone Defect Using Central Bone Grafting Technique
Gordan Gulan
Zdravko Jotanović
Hari Jurdana
Branko Šestan
Saša Rapan
Dušan Rubinić
Jagoda Ravlić-Gulan
Abstract
Treatment of infected tibial nonunion with bone defect represents a challenge for every orthopaedic surgeon. Various
methods of treatment have been described for nonunions with infection, bone loss or both. One of them is the central bone
grafting technique, which is a safe and effective treatment for nonunions of the tibia. The technique involves placement of
autogenous cancellous bone from the iliac crest on the anterior surface of the interosseous membrane with the aim of creating
a tibiofibular synostosis. We present the results of uncontrolled, retrospective and continuous series of ten patients
treated by a central bone grafting technique for infected tibial nonunion with bone loss. Mean follow-up period was 12
(10–15) years. Most injuries were a result of war injuries. Clinically and radiologically confirmed bony healing with total
consolidation of the graft was achieved in all patients within a period of 10–12 months without further bone grafting.
The newly-formed bone mass was able to fulfil the mechanical and functional demands of everyday life activities. Once
again, the central bone grafting technique has shown to be a safe, reliable and effective method of treatment for infected
tibial nonunion with bone defect.
Keywords
tibial nonunion; infection; bone defect
Hrčak ID:
84859
URI
Publication date:
10.7.2012.
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