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Treatment of tibial and femoral bone defects with bone transport over an intramedullary nail

Journal of Orthopaedic Trauma Sep 28, 2020

Bas A, Daldal F, Eralp L, et al. - Via performing a retrospective review of case series of 40 patients who underwent reconstruction of the lower limb with bone transport over an intramedullary nail (BTON) technique, researchers sought to evaluate the results of the BTON technique for the treatment of segmental bone defects. For patients with infected nonunion, the surgical technique was performed in 2 stages. At the first stage, eradication of infection was done in all patients. They used monolateral external fixators and circular external fixators for femoral and tibial defects, respectively, for the BTON at the second stage. Debridement with a single-stage BTON was performed in cases of defects without any infection. Outcomes suggest that because of the short treatment period, low complication risk, and rapid rehabilitation, the BTON technique afforded low cost. Further, the technique is not limited by the amount of bone transport.

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