Management of tibial bone defects surgical treatment

Abstract

Introduction: Treatment of bone defects remains a pressing dilemma, to which the tibial bone and damage. Issues that need to be considered in resolving this problem anatomical and functional recovery of integrity affected bone segment. So to get a positive result in treatment must to choose the optimal treatment method that best. Which is the purpose of this work - studying surgical methods of treat in tibial bone defects. Material and methods: This study is a retrospective and was carried out based on having cases of tibial bone defects were treated in the years 2007-2013 in the IMSP SCTO and IMSP CNȘPMU. The object of study is 52 patients, residents of various districts of Moldova addressed by specialized medical care, based on which we aimed to study some aspects of bone plasty of tibial bone defects. Results: Tibial bone defects in solving surgical treatment plays a key role. Analyzing data files studied we found that the total number of bone plasty tibial bone defects plastic used in patients with tibial bone defect marginal method was used only bone plasty with vascularized fibula in tibial total circular defects in 18 patients were returned by the migration of the fibula, which functionally integrated in 18-20 months. Patients throughout the functional integration wore protective external fixators. At 31 patients with circular defects were restored tibial bone lengthening method AFE Ilizarov callus flin. Fault with small (<3 cm) or treated relatively more often by means of bone plasty with vascularized fibula, these large (3-8 cm and> 8 cm) by the method of stretching fun AFE Ilizarov callus. Conclusions: 1. Surgical treatment of tibial bone defects is varied and existing methods are not perfect, so that the best methods of treatment of infected defctelor still remain to be vascularized fibula method and callus fun with AFE Ilizarov. 2. Statistical analysis o f addiction treatment method size circular bone defects - correlation reveals that the majority of small defects are treated by vascularized fibula method and the large callus an entertaining method of Ilizarov AFE.