ArticleStrategies in trauma and limb reconstruction
Technical Report: Two-stage Approach for Limb Reconstruction in Open Tibial Fractures with Bone Loss or Infection Using Soft Tissue Flap Coverage, Bone Resection, and Frame-guided Mono- or Bifocal Corticotomy-based Bone Transport, Including Video Demonstration.
Article in Strategies in trauma and limb reconstruction. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim and background: Orthopaedic surgeons face a complex challenge in managing open fractures of the lower leg or infected bones with significant segmental bone loss. The aim of this technical guide and video demonstration is to describe and standardise a two-stage approach, combining bone resection, soft tissue reconstruction and bone transport using a Taylor spatial frame (TSF), as management for such injuries. Technique: We describe a two-stage surgical technique: In the first stage, all infected, potentially infected, or necrotic bone is meticulously resected, and soft tissue coverage is provided using either local or free flaps. After soft tissue recovery and infection/contamination eradication, a TSF is applied with uni- or bifocal corticotomies to facilitate bone transport for reconstructing segmental bone loss. Bone transport is guided by frame-specific software that instructs daily micro-adjustments, carried out by the patient in their home setting. Regular follow-up and radiographic imaging allow for re-adjustment of software parameters, if required. Technical considerations, indications and limitations of the approach are also discussed. Conclusion: This technical guide outlines a detailed description of a staged reconstructive surgical approach to address open fractures of the lower leg with significant segmental tibial bone loss. Use of the TSF system allows multiplanar adjustment and reduced risk of mal- or non-union. The technique requires careful pre-operative planning and significant patient compliance and engagement due to the prolonged treatment duration. Clinical significance: This guide and video demonstration highlight an effective surgical technique for the management of open tibial fractures that utilises precision and advanced technology-guided frame adjustments.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.