ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2026
[Comparative efficacy of internal versus external BTLP technique with locking plates in treating large-segment infectious bone defects of tibia].
Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare effectiveness of internal versus external bone transport with locking plate (BTLP) technique in treating large-segment infectious bone defects of tibia. Methods: A retrospective analysis was conducted on 131 cases of large-segment infectious bone defects of tibia, who were admitted between July 2018 and October 2024 and met the selective criteria. All patients underwent primary debridement followed by antibiotic-containing bone cement filling, with secondary repair employing locking plates combined with external frame technology after infection control. Patients were allocated into an internal fixation group ( Results: All patients completed treatment and were followed up 12-62 months (mean, 20.5 months). The re-debridement rate was significantly higher in the internal fixation group than in the external fixation group ( Conclusion: BTLP technique is effective for large-segment infectious bone defects, but for patients with poor skin and soft tissue conditions, the BTLP technique with external fixation can achieve better infection control. However, the treatment process needs to pay attention to the treatment of pin tracts and the adverse effects on joint mobility.
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