Evidence map›Paper›PMID 26309700›Full record

ArticleInternational journal of clinical and experimental medicine2015

Ilizarov bone transport combined with antibiotic cement spacer for infected tibial nonunion.

Jing Peng, Li Min, Zhou Xiang, Fuguo Huang, Chongqi Tu, Hui Zhang

Abstract readCase Reports
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Which surgical technique may yield the best results in large, infected, segmental non-unions of the tibial shaft? A scoping review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  7. New bone formation using antibiotic-loaded calcium sulfate beads in bone transports for the treatment of long-bone osteomyelitis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
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  13. Assessment of Lower Limb Load Distribution in Patients Treated with the Ilizarov Method for Tibial Nonunion.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
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  16. Assessment of Gait after Treatment of Tibial Nonunion with the Ilizarov Method.International journal of environmental research and public health · 2021
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  19. [Trifocal bone transport by using monolateral rail system in treatment of bone defects caused by post-traumatic tibial osteomyelitis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jing PengDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Li MinDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Zhou XiangDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Fuguo HuangDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Chongqi TuDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Hui ZhangDepartment of orthopedics, West China Hospital, Sichuan University Sichuan, People's Republic of China.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the curative effect of Ilizarov bone transport combined with antibiotic cement spacer for infected tibial nonunion with bone defect.

methodsWe retrospectively reviewed the outcomes of 58 patients with infected tibial nonunion from January 2008 to March 2011 at our institution. Patients were treated with complete debridement, radical sequestrectomy, antibiotic cement spacer implantation, bone transport using the Ilizarov external fixator, and soft tissue reconstruction. Clinical efficacy was assessed using Paley's grading system and patient satisfaction at the last follow-up.

resultsFollow-up ranged from 24 to 63 months (average, 31.6 months). Mean size of the tibial defect was 9.2 cm (range, 6-15 cm). The soft tissue defect was closed successfully in all cases. Patients eventually achieved union with a mean bone union index of 1.2 months/cm at an average of 10.6 months (range, 8-31 months). In terms of Paley grade, 30 patients had excellent results, 23 good, and 5 fair. Functional results were excellent in 28 patients, good in 18, and fair in 12. Thirty-five patients felt extremely satisfied, 18 satisfied, and 5 acceptable with the functional outcome. Complications included pin site infection in 18 cases, limb length discrepancy less than 1.5 cm in 10, knee stiffness in 5, equinus deformity in 4, infectious recurrence in 1 and pin breakage in 1. There was no refracture at the reconstruction site.

conclusionIlizarov bone transport combined with antibiotic cement spacer is a versatile and effective method for treatment of infected tibial nonunion.

Indexed as

antibiotic cementbone defectIlizarov bone transportinfected tibia nonunion

Identifiers

PMID26309700
PMCPMC4537994
OpenAlexW1133235159

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.