Open Access
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(04): e571-e579
DOI: 10.1055/s-0043-1770974
Artigo Original
Asami

Treatment of Infected Pseudarthrosis of the Tibia Using the Ilizarov Method and the Orr Dressing

Article in several languages: português | English
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
,
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
,
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
,
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
,
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
,
1   Médico Ortopedista, Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brasil
› Author Affiliations


Financial Support This study received no financial support from public, commercial, or non-profit funding agencies.
Preview

Abstract

Objective This study aims to analyze outcomes and clinical and epidemiological data of infected tibial pseudarthrosis using the Ilizarov method and the Orr dressing.

Methods Data from n = 43 patients diagnosed with infected tibial pseudarthrosis were analyzed by descriptive and inferential statistical methods. In addition, Paley's assessment criteria evaluated bone and functional outcomes. Qualitative variables were presented as the distribution of absolute and relative frequencies. The presentation of quantitative variables followed the D'Agostino-Pearson test.

Results Thirty-seven (86.04%) subjects were males, and six (13.95%) were females. The most frequent age group among patients was 50 to 59 years old (25.6%), with a p-value = 0.8610. The treatment time was longer for the trifocal treatment (23.8 months) when compared to the bifocal treatment (15.6 months), with a p-value = 0.0010* (highly significant). Excellent bone outcomes represented 72.09% of the sample; 23.25% of outcomes were good. Functional outcomes were excellent in 55.81%, good in 6.97%, and regular in 27.90% of subjects. The Orr dressing (using Vaseline gauze) proved effective, achieving wound healing with soft tissue coverage in all patients evaluated.

Conclusions The Ilizarov method resulted in a substantial change in the treatment of bone infections, especially infected pseudarthrosis. The versatility of this method has turned it into an effective tool, allowing the healing of the infectious process and the correction of potential deformities and shortening.

Study developed at Hospital Regional de Sobradinho, Brasília, Distrito Federal, Brazil




Publication History

Received: 10 September 2022

Accepted: 12 April 2023

Article published online:
30 August 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil