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Author: search.filters.author.Azam, Mohsin E.Subject: search.filters.subject.nonunion

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    Treatment of infected nonunion of the juxta-articular region of the distal tibia
    (TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2016-01-01) Eralp, Ibrahim Levent; Kocaoglu, Mehmet; Dikmen, Goksel; Azam, Mohsin E.; Balci, Halil Ibrahim; Bilen, F. Erkal
    Objective: The purpose of this study was to summarize our clinical results with distraction osteogenesis for the treatment of infected tibial nonunion around the ankle joint. Methods: Between 1994 and 2009, 13 patients with a mean age of 50 years (range: 27-79 years) underwent tibial reconstruction for the treatment of infected nonunion of the distal tibia, with a mean bone loss of 4.8 cm (range: 1-7 cm). Lengthening over an intramedullary nail as a second procedure was used in 2 patients, bifocal compression and distraction technique in 5 cases, compression with Ilizarov external fixator in 5 cases, and Taylor Spatial Frame (TSF, Smith \& Nephew, Memphis, TN, USA) in 1 case. At final follow-up, functional and radiographic results were evaluated according to Paley's bone and functional healing criteria. Results: Mean duration of follow-up was 36 months. Mean external fixation time was 198 days, and mean external fixation index was 29 days/cm. According to Paley's bone healing criteria, there were 10 excellent, 2 good, and 1 poor result(s)