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[Infected fractures of the leg treated by splints.]
A Lortat-Jacob1, J Paukovic, P Hardy
1Assistance Publique Hôpitaux de Paris, Ambroise Paré, Service de Chirurgie Orthopédique et Traumatologique, Boulogne, Francúzsko.
Summary
This study details a three-stage treatment for infected pseudoarthrosis of the leg, involving excision, external fixation, and autologous spongiosa bone grafting. The method successfully treated 18 patients with infected leg fractures.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Context:
- Suppurative pseudoarthrosis presents a significant challenge in orthopedic trauma.
- Previous two-stage techniques offer a foundation for treatment strategies.
Purpose:
- To present a novel three-stage surgical method for treating suppurative pseudoarthrosis of the leg.
- To evaluate the efficacy of this technique in a clinical setting.
Summary:
- The described method involves single-session excision of infected and necrotic tissue followed by external fixation.
- Reconstruction is achieved via autologous spongiosa grafting and fibular support on postoperative day 15.
- Partial closure of soft tissues and skin is performed during reconstruction.
Impact:
- Demonstrates a viable treatment option for complex infected non-unions of the leg.
- Highlights the successful application of a modified Papineau technique with custom external fixation and autografting.
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