ArticleJournal of orthopaedic surgery and research2017
Femoral nonunion with segmental bone defect treated by distraction osteogenesis with monolateral external fixation.
Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Ilizarov Method for the Management of Infected Nonunion of the Femur With or Without Bony Defects.Cureus · 2026Article
- Limb Reconstruction System for Infected Nonunion: A Retrospective Study.Journal of orthopaedic case reports · 2025Article
- Cable-asisted bone transport versus circular external fixators-asisted bone transport in the management of bone defects of the Tibia: clinical and imaging results.Journal of orthopaedic surgery and research · 2025Article
- Comparison of orthofix external fixator combined with vascularized fibula graft versus single segmental femoral lengthening for treating femoral defects ≥ 6 cm: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Outcomes of Infected Non-unions of Distal Femur Managed with the Masquelet Method and Ilizarov Ring Fixator.Indian journal of orthopaedics · 2024Article
- Sustained BMP-2 delivery via alginate microbeads and polydopamine-coated 3D-Printed PCL/β-TCP scaffold enhances bone regeneration in long bone segmental defects.Journal of orthopaedic translation · 2024Article
- Double Segmental Femoral Fracture: A Rare Injury Following High-Energy Trauma.Journal of medical cases · 2024Article
- Bone transport combined with sequential nailing technique for the management of large segmental bone defects after trauma.Frontiers in surgery · 2024Article
- Outcome analysis of ilizarov and monorail fixators in the treatment of nonunion of long bones: A systematic review and proportion meta-analysis.Journal of clinical orthopaedics and trauma · 2023Article
- Outcome of monolateral rail fixator in infected nonunion of femur diaphysis developing after intramedullary fixation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Outcome of unstable pertrochanteric fractures in high-risk geriatric treated with external fixators.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection.Frontiers in surgery · 2022Article
- Novel piston technique versus Ilizarov technique for the repair of bone defect after lower limb infection.Journal of orthopaedic surgery and research · 2021Article
- High slew rate pulsed electromagnetic field enhances bone consolidation and shortens daily treatment duration in distraction osteogenesis.Bone & joint research · 2021Article
- Ilizarov bone transport to treat infected nonunion of long bones: a multicenter retrospective cohort study.The Journal of international medical research · 2021Article
- Role of the Ilizarov non-free bone plasty in the management of long bone defects and nonunion: Problems solved and unsolved.World journal of orthopedics · 2020Article
- Treatment of segmental tibial defects by bone transport with circular external fixation and a locking plate.The Journal of international medical research · 2020Article
- [Ilizarov external fixation without bone graft for atrophic femoral shaft nonunion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
- [Recent advances in treatment of aseptic femoral shaft nonunion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Review
- Effective Compression and a Minimally Invasive Rail Plate to Optimize Bone Transport in Distraction Osteogenesis: New Concepts.JB & JS open accessArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently, the common treatment for femoral nonunion with large segmental bone defect is difficult and complex. The effective surgical methods are rare, include vascularized bone grafting, Masquelet technique and Ilizarov distraction osteogenesis. The objective of this study is to investigate the outcomes of segmental femoral defects treated with monolateral external fixation using the distraction osteogenesis.
methodsWe retrospectively analyzed patients with femoral nonunion with segmental bone defects (> 6 cm) between January 2010 and January 2014 in our single trauma center. All patients were treated by distraction osteogenesis with monolateral external fixation. All surgeries were performed by the same surgeon. Bone union, duration of distraction osteogenesis in days, time to consolidation in months, external fixation index (EFI), complications, and additional surgical interventions were recorded postoperatively. The modified Application of Methods of Illizarov (ASAMI) criteria were used to evaluate the operative effectiveness.
resultsForty-one patients were enrolled in this study for analysis. The length of the bone defect ranged from 6 to 17 cm. All patients eventually achieved healing, and no patient experienced recurrence of infection or newly developed infection. The average time needed for healing was 13 months. In terms of the incidence of complications, 3 cases axial deviations, 5 cases docking site nonunion, 23 cases pin-tract infection, 14 cases knee joint stiffness or their joint mobility declined, 2 cases osteogenesis insufficient in the distraction area,1 case refracture, and 2 cases loose external fixation pins. In terms of the evaluations of fracture healing and function, 30 patients excellent, 6 patients good, 5 patients fair, and 0 patient poor. In terms of postoperative function evaluations, 21 patients excellent, 9 patients good, 7 patients fair, and 4 patients poor.
conclusionFor patients with femoral nonunion with large segmental bone defects, the monolateral external fixation can provide effective stability, improve compliance, and reduce complications.
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