Shortening and re-lengthening versus bone transport for the treatment of distal tibial periarticular post-traumatic defects

In the present study, we presented our experience with a new modified technique of shortening and re-lengthening using a monolateral external frame combined with a calcaneal intramedullary nail and compared it with the bone transport technique for the treatment of distal tibial periarticular post-tr...

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Published in:Scientific reports 2022-09, Vol.12 (1), p.16303-16303, Article 16303
Main Authors: Huang, Qiang, Ma, Teng, Ren, Cheng, Xu, YiBo, Li, Ming, Wang, Qian, Lu, Yao, Li, Zhong, Zhang, Kun
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631/443/63
692/420/254
Ankle
Antibiotics
Bone surgery
Calcaneus
Debridement
Humanities and Social Sciences
multidisciplinary
Patients
Plastic surgery
Science
Science (multidisciplinary)
Skin & tissue grafts
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description In the present study, we presented our experience with a new modified technique of shortening and re-lengthening using a monolateral external frame combined with a calcaneal intramedullary nail and compared it with the bone transport technique for the treatment of distal tibial periarticular post-traumatic defects. Forty-one patients were retrospectively analyzed. Among them 19 were treated using our modified shortening and re-lengthening technique (MSR group) and 22 by bone transport (BT group). The difference in external fixation time (EFT), external fixation index (EFI), self-rating anxiety scale (SAS), and complications were compared between the two groups. The mean EFT was 3.4 ± 0.6 months in the MSR group and 7.5 ± 1.4 months in the BT group; the EFI was 0.57 ± 0.06 month/cm and 1.32 ± 0.23 month/cm, respectively. The EFT, EFI, and SAS scores were significantly lower in the MSR group than in the BT Group ( p  
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subjects 631/443/63
692/420/254
Ankle
Antibiotics
Bone surgery
Calcaneus
Debridement
Humanities and Social Sciences
multidisciplinary
Patients
Plastic surgery
Science
Science (multidisciplinary)
Skin & tissue grafts
title Shortening and re-lengthening versus bone transport for the treatment of distal tibial periarticular post-traumatic defects
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