Bakhsh Karim, Zimri Faridullah Khan, Mohammad Eid, Saaiq Muhammad
Dr. Karim Bakhsh, FCPS. Department of Orthopedics, Bolan Medical Complex Hospital, Quetta, Pakistan.
Dr. Faridullah Khan Zimri, FCPS. Department of Orthopedics, NIRM, Islamabad, Pakistan.
Pak J Med Sci. 2021 Jan-Feb;37(1):201-205. doi: 10.12669/pjms.37.1.3354.
To document the presentation of infected non-unions of femur in pediatric and adolescent population and evaluate the outcome of segmental bone transport with the Ilizarov method.
This prospective case series study was carried out over a period of five years, from January 01, 2015 to December 31, 2019. The study included all children and adolescent patients who presented with femoral infected non unions. The study excluded patients above the age of 16 years and those who had pathological fractures secondary to bone pathologies such as cysts, tumors or metabolic bone diseases.
Out of 31 patients, 27(87.09%) were males and 4(12.90%) were females. The mean age was 13.48±1.98 years. The underlying mechanisms that lead to the causation of fractures included road traffic accidents (n=23;74.19%), fall from height (n=7;22.58%) and firearm injuries (n=1;3.22%). The bone gaps ranged from 3-5 cm with a mean of 4.00± 0.856 cm. Bone union was achieved among 28(90.32%) patients. Infection was eradicated among 27(87.09%) patients whereas the remaining patients continued to suffer persistent infection. The most common complications included pin tract inflammation/ infection among (n=31;100%) patients and stiffness of knee joint among (n=19;61.29%) patients.
Majority of the patients were males, aged 9-16 years. Road traffic accidents were the commonest cause of the fractures. The Ilizarov method of segmental bone transport was effective in treating the majority of infected non-unions.
记录儿童和青少年股骨感染性骨不连的表现，并评估采用伊里扎洛夫方法进行节段性骨搬运的结果。
本前瞻性病例系列研究历时五年，从2015年1月1日至2019年12月31日。该研究纳入了所有出现股骨感染性骨不连的儿童和青少年患者。研究排除了16岁以上的患者以及那些因囊肿、肿瘤或代谢性骨病等骨病变继发病理性骨折的患者。
31例患者中，27例（87.09%）为男性，4例（12.90%）为女性。平均年龄为13.48±1.98岁。导致骨折的潜在机制包括道路交通事故（n = 23；74.19%）、高处坠落（n = 7；22.58%）和火器伤（n = 1；3.22%）。骨缺损范围为3 - 5厘米，平均为4.00±0.856厘米。28例（90.32%）患者实现了骨愈合。27例（87.09%）患者的感染得到根除，而其余患者仍持续存在感染。最常见的并发症包括所有患者（n = 31；100%）均出现的针道炎症/感染以及19例（61.29%）患者出现的膝关节僵硬。
大多数患者为男性，年龄在9 - 16岁。道路交通事故是骨折最常见的原因。伊里扎洛夫节段性骨搬运方法对大多数感染性骨不连有效。
