This is a prospective randomised controlled comparative study comparing bone transport through induced membrane (BTM) and conventional bone transport (BT) in management of bone defects in infected non united fractures of long bones of lower limbs (femur, tibia) as regard clinical, functional outcomes and possible complications.
A prospective randomised controlled study was conducted at Ain shams university hospitals. A total of 30 patients with infected non united fractures of long bones of lower limbs (femur and tibia) were divided randomly into 15 patients treated by bone transport through induced membrane technique (BTM) (Group A) and 15 patients treated by conventional bone transport technique (BT) (Group B)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Debridement done followed by external fixator and cement application to be followed by removal of cement (after 6 weeks) and start bone transport
Debridement done then external fixator was applied then bone transport started.
Ain Shams University
Cairo, Egypt
External fixation time
time from the initial application of the fixator until removal of fixator (in months)
Time frame: through study completion, an average of 1 year
External fixation index
calculated by dividing the EFT (months) by the bone defect size (centimeters)
Time frame: through study completion, an average of 1 year
Docking time
time taken (months) from end of bone transport till union of docking site (both with and without bone graft)
Time frame: through study completion, an average of 1 year
Association for the Study and Application of the Method of Ilizarov (ASAMI) Scoring System
scoring system for bone and functional results
Time frame: through study completion, an average of 1 year
complications rate
number of complications in each group
Time frame: through study completion, an average of 1 year
additional operations
number of additional operations in each group
Time frame: through study completion, an average of 1 year
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