Complications associated with bone transport: a literature review of nonunion at the docking site

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1 Chinese Journal of Tissue Engineering Research ( ) DOI: /j.issn ORCID: ( ) :R318 :A Ilizarov Ilizarov Ilizarov CNKI PubMed Ilizarov docking site, bone transport bone defects Ilizarov 44 Complications associated with bone transport: a literature review of nonunion at the docking site Liang Bin, Zhang Kai (Department of Traumatic Orthopedics, Binzhou Medical University Hospital, Binzhou , Shandong Province, China) Abstract BACKGROUND: Bone transport is a powerful tool described by Ilizarov, which is an excellent biological method for the correction of large bone defects. But complications specifically associated with bone transport including delayed union or nonunion at the docking site occur frequently. OBJECTIVE: To analyze the research status and clinical treatments of the delayed union or nonunion at the docking site in bone transport using Ilizarov method. METHODS: A computer-based search of CNKI and PubMed databases was performed for the articles related to the docking site, osteotomy, bone defects and bone transport with the keywords of docking site, bone transport, bone defects, Ilizarov in English and Chinese, respectively. Finally, 44 eligible articles were included to review. Liang Bin, Master candidate, Department of Traumatic Orthopedics, Binzhou Medical University Hospital, Binzhou , Shandong Province, China Corresponding author: Zhang Kai, Professor, Chief physician, Master s supervisor, Department of Traumatic Orthopedics, Binzhou Medical University Hospital, Binzhou , Shandong Province, China : (2018)

2 . [J] (8): DOI: /j.issn RESULTS AND CONCLUSION: Docking sites are the result of a classic bone transport technique for dealing with bone loss. Union may prove to be the rate-limiting step of this surgical procedure. About the delayed union or nonunion at the docking site, different clinicians have different foci, some clinicians focus on prevention, some focus on the biological treatment, and some focus on surgical intervention. The emergence of decortications and debridement under arthroscopy provides a new treatment strategy for the delayed union or nonunion at the docking site. How to promote the healing at the docking site and shorten treatment course still needs a further investigation. Subject headings: Bone Transplantation; Fractures, Bone; Fracture Healing; Tissue Engineering 0 Introduction Ilizarov 1Data and methods 1.1 PubMed CNKI Results 2.1 [1-2] [1 3-4] [1] Ilizarov [5] [6-7] Ilizarov (Law of tension-stress LTS) [8] Ilizarov [9] 1276 ISSN CN /R CODEN: ZLKHAH

3 Liang B, Zhang K. Complications associated with bone transport: a literature review of nonunion at the docking site. Zhongguo Zuzhi Gongcheng Yanjiu. 2018;22(8): DOI: /j.issn [10-14] [15] Green [16] Giotakis [11] [12] Ilizarov [ ] ( 1) Mora [17] Ilizarov 10% Charalambous [22-24] 50% 2.3 [25-26] Magadum [26] [27] X [19] Karargyris [19 28] [ ] Somanchi [ ] (vacuum assisted closure VAC) Giotakis [11] (taylor spatial frame TSF) [9] 2.4 Ilizarov mm3 [ ] [35] P.O. Box 10002, Shenyang

4 . [J] (8): DOI: /j.issn Ilizarov (n) (cm) (n) (n) (n) (n) Mora R Bumbasirević M Krishnan A / Abdel-Aal AM Erler K Maini L Song HR / / / Ilizarov () 1 mm/d 10 mm [11 36] [25] Hatzokos [20 36] 1278 ISSN CN /R CODEN: ZLKHAH

5 Liang B, Zhang K. Complications associated with bone transport: a literature review of nonunion at the docking site. Zhongguo Zuzhi Gongcheng Yanjiu. 2018;22(8): DOI: /j.issn Robinson [9] Giotakis [ ] Robinson [ ] [ ] 3 Conclusions Ilizarov 3 (PRISMA ) CNKI 3 4 References [1] DeCoster TA,Gehlert RJ, Mikola EA, et al. Management of posttraumatic segmental bone defects.j Am AcadOrthop Surg.2004;12(1): [2] Maini L, Chadha M, Vishwanath J, etal.theilizarov method in infected nonunion of fractures.injury.2000;31(7): [3] Krishnan A, Pamecha C, Patwa JJ.Modified Ilizarov technique for infectedno- nunion of the femur: the principle of distraction-compression osteogenesis.j OrthopSurg (Hong Kong).2006;14(3): [4] Lin CC, Chen CM, Chiu FY,et al. Staged protocol for the treatment of chronic tibial shaft osteomyelitis with Ilizarov's technique followed by the application of intramedullary locked nail. Orthopedics.2012;35(12):e [5] Thirumal M, Shong HK. Bone transport in the management of fractures of the tibia. Med J Malaysia. 2001;56(1): [6]. [J]. 2009,17(24): [7],.Ilizarov [J]. 2002,9(3) [8] Yin P, Ji Q, Li T, et al. A systematic review and meta-analysis of Ilizarov methods in the treatment of infected nonunion of tibia and femur. PloS one.2015;10(11): e [9] Robinson PM, Papanna M, Younis F,et al. Arthroscopic debridement of docking site in Ilizarov bone transport. Ann R CollSurg Engl.2010;92(5): [10] Peng J, Min L, Xiang Z, et al.ilizarov bone transportcombined with antibiotic cement spacer for infected tibial nonunion.int J ClinExp Med. 2015;8(6): [11] Giotakis N, Narayan B, Nayagam S.Distraction osteogenesis and nonunion of the docking site: is there an ideal treatment option? Injury. 2007;38 Suppl1:S [12] Garcia FL, Picado CH, Garcia SB. Histology of the regenerate and docking site in bone transport. Arch Orthop Trauma Surg.2009;129(4): [13] Tresley J, Schoenleber SJ, Singer AD, et al. "Ilizarov" external fixation: what the radiologist needs to know. Skeletal Radiol. 2015;44(2): [14] DeCoster TA, Simpson AH, Wood M. Biologic model of bone transport distraction osteogenesis and vascular response. J Orthop Res. 1999;17(2): [15],,,. [J].,2004,42(23):1469. [16] Green SA, Jackson JM, Wall DM, et al. Management of segmental defects by the Ilizarov intercalary bone transport method.clinorthoprelat Res. 1992;(280): P.O. Box 10002, Shenyang

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