Treatment of Post - traumatic Bone Defects with infection in L ong B ones

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dc.contributor.authorAgarwal, Hari Omen_US
dc.contributor.authorChawla, Harjit K. Singhen_US
dc.contributor.authorGarg, Ashishen_US
dc.contributor.authorSahni, Girishen_US
dc.date.accessioned2023-08-19T05:00:14Z
dc.date.available2023-08-19T05:00:14Z
dc.date.issued2022-03
dc.description.abstractBackground: Open fractures are a challenging condition to treat because they are frequently compounded by infection and nonunion. Traditional bone defect care strategies are mostly focused on fracture union rather than infection prevention. The goal of this study is t o use the Masquelet approach to examine the outcome of a post - traumatic defect with infection in long bones. This method is a two - step process. Stage I surgery includes debridement and the placement of an antibacterial spacer in the bone defect. Stage II s urgery involved removing the spacer while preserving the induced membrane that had grown on the spacer's surface and filling the bone - gap with morselized iliac crest bone - graft within the membrane sleeve. Methods: There were 22 patients in this study (18 m ales and 4 females), all of them had infected long bone fractures with a bone defect. The average length of the bone defect was 3.5 centimetres. The duration of follow - up varied from 6 to 15 months. Results: After an average of 11.5 weeks following the fir st step of surgery, radiological union was achieved. After stage 1, no patient had any remaining infection. After radiological union, all of the patients were able to mobilise with full weight bearing and a satisfactory range of motion in the adjoining joi nts. Conclusion: With favourable outcomes, this treatment can be used on infected fractures with bone loss on a regular basis. Antibiotic cement spacers, used in conjunction with complete debridement, minimise the risk of infection. The graft is revascular ized through induced biomembrane. In most circumstances, union may be predicted; nonetheless, the length of time it takes to reach an agreement is a constraint. The technique is low - cost and does not necessitate any additional training or equipment. Despit e the fact that it is a two - stage procedure, it does not necessitate several surgeries as in traditional approaches.en_US
dc.identifier.affiliationsAssociate Professor, Deptt of Orthopaedics, Govt Medical College, Patialaen_US
dc.identifier.affiliationsAssistant Professor, Deptt of Orthopaedics, Govt Medical College, Patialaen_US
dc.identifier.affiliationsSenior Resident, Deptt of Orthopaedics, All India Institute of Medical Sciences, Bathindaen_US
dc.identifier.citationAgarwal Hari Om, Chawla Harjit K. Singh, Garg Ashish, Sahni Girish. Treatment of Post - traumatic Bone Defects with infection in L ong B ones . Indian Journal of Medical Research. 2022 Mar; 8(1): 1-3en_US
dc.identifier.issn2454-9894
dc.identifier.issn2454-9886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224062
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.21276/iabcr.20 2 2 . 8 . 1 . 6en_US
dc.subjectAntibiotic cement spaceren_US
dc.subjectinduced biomembrane bone graftingen_US
dc.subjectmanagement of bone defecten_US
dc.subjectmanagement of compound fracturesen_US
dc.subjectMasquelet techniqueen_US
dc.titleTreatment of Post - traumatic Bone Defects with infection in L ong B onesen_US
dc.typeJournal Articleen_US
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