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Vol.62 (2016) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/532

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Title: Surgical treatment options for septic non-union of the tibia: two staged operation, Flow-through anastomosis of FVFG, and continuous local intraarterial infusion of heparin
Authors: Kawakami, Ryoichi
Ejiri, Soichi
Hakozaki, Michiyuki
Hatashita, Satoshi
Sasaki, Nobuyuki
Kobayashi, Yoshitaka
Takahashi, Yoko
Konno, Shin-Ichi
Affiliation: 整形外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 62
Issue: 2
Start page: 83
End page: 89
Issue Date: 2016
Abstract: Background : The treatment of septic non-union of the tibia is a challenging area. The objective of this clinical study was to improve the treatment outcomes in patients with a highly active infection by the three strategies consisting of a two-staged operation, a flow-through technique for vascular anastomosis of a free vascularized fibular graft (FVFG), and continuous local intra-arterial infusion of heparin. Patients & Method : Five patients with septic non-union of the tibia who were treated with an FVFG (mean age: 52.8 years) were enrolled. The mean postoperative follow-up period was 47.2 months, and the mean length of the bone defect was 111 mm. A two-staged operation, in which polymethylmethacrylate (PMMA) beads containing antibiotics were inserted into a bone defect followed by bone reconstruction performed with an FVFG later. Vascular anastomosis was performed with the flow-through technique in all patients. Immediately after FVFG, heparin was continuously infused through a femoral arterial catheter for 1 week. Result : Bone union was confirmed an average of 18.8 weeks after-surgery in all patients without reoperation for thrombus. Conclusion : Our attempt to apply the strategies appears to be a viable treatment option for septic non-union of the tibia.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/532
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/532/1/FksmJMedSci_62_p83.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2016-5
PubMed ID: 27477992
Related Page: http://doi.org/10.5387/fms.2016-5
Rights: © 2016 The Fukushima Society of Medical Science
Appears in Collections:Vol.62 (2016)

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FksmJMedSci_62_p83.pdf1.65 MBAdobe PDFDownload

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