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Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis

  • Authors:
    • Yan Zhu
    • Peng Jiang
    • Zhiwei He
    • Hongbo Qian
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210000, P.R. China
    Copyright: © Zhu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 230
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    Published online on: March 26, 2024
       https://doi.org/10.3892/etm.2024.12518
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Abstract

The treatment of infected tibial bone defects can be challenging for the orthopedic surgeon. Therefore, the aim of the present study was to compare the fixation endurance, bone union time, lower limb joint function and complications associated with different fixation methods in the treatment of bone defects caused by debridement in the treatment of post‑traumatic osteomyelitis. The clinical data of 55 patients with infected bone defects of the lower extremities following traumatic injury, who had undergone radical debridement between January 2017 and September 2020, were retrospectively analyzed. The patients were divided into three groups according to the type of fixation during reconstruction, namely the external fixation (EX), internal fixation (IX) and non‑contact locking plate (LP) groups. The demographic data, time to bone union, bacterial culture results, complications and Self‑Rating Anxiety Scale (SAS) scores of the patients were compared among the three groups. The results indicated that the differences in time to bone union and recurrence rates of osteomyelitis among the three groups were not statistically significant. By contrast, functional status after surgery was significantly higher in the LP group compared with the EX group. In total, 8/22 patients (36.4%) in the EX group, 4/13 patients (30.8%) in the IX group and 4/20 patients (20.0%) in the non‑contact LP group had shortened limbs and deformed tibia. The SAS assessment results revealed that patients in the non‑contact LP group had the lowest rates of moderate and severe anxiety. In conclusion, the results of the present study demonstrate that the non‑contact locking plate technique provided stable fixation without any contact between the implant and bone tissues. Therefore, this technique may be viable for use during the reconstruction stage of post‑traumatic tibial osteomyelitis.
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Copy and paste a formatted citation
Spandidos Publications style
Zhu Y, Jiang P, He Z and Qian H: Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis. Exp Ther Med 27: 230, 2024.
APA
Zhu, Y., Jiang, P., He, Z., & Qian, H. (2024). Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis. Experimental and Therapeutic Medicine, 27, 230. https://doi.org/10.3892/etm.2024.12518
MLA
Zhu, Y., Jiang, P., He, Z., Qian, H."Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis". Experimental and Therapeutic Medicine 27.5 (2024): 230.
Chicago
Zhu, Y., Jiang, P., He, Z., Qian, H."Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis". Experimental and Therapeutic Medicine 27, no. 5 (2024): 230. https://doi.org/10.3892/etm.2024.12518
Copy and paste a formatted citation
x
Spandidos Publications style
Zhu Y, Jiang P, He Z and Qian H: Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis. Exp Ther Med 27: 230, 2024.
APA
Zhu, Y., Jiang, P., He, Z., & Qian, H. (2024). Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis. Experimental and Therapeutic Medicine, 27, 230. https://doi.org/10.3892/etm.2024.12518
MLA
Zhu, Y., Jiang, P., He, Z., Qian, H."Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis". Experimental and Therapeutic Medicine 27.5 (2024): 230.
Chicago
Zhu, Y., Jiang, P., He, Z., Qian, H."Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis". Experimental and Therapeutic Medicine 27, no. 5 (2024): 230. https://doi.org/10.3892/etm.2024.12518
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