[Importance of intertibio-peroneal graft in pseudoarthrosis of the leg at risk for sepsis. Apropos of 21 cases].

PURPOSE

The purpose of our study was to analyze the use of intertibio-fibular bone grafting (I.T.F.G.) in non-union presenting a septic risk.

MATERIAL AND METHODS

Twenty one non-unions of the tibial diaphysis presenting a septic risk were treated by intertibio-fibular bone grafting through a postero-lateral approach, over a seven year period (1988-1995). There were 2 septic non-unions and 19 non-unions following open fractures, all treated initially by external fixation. Seventeen patients were male, four were female. Mean age was 33 years (range 19 to 70 years).

RESULTS

Healing was obtained in 20 cases, only one patient had a second bone grafting. Postoperative complications included two infections (one deep and one superficial) without consequences on bone healing. Functional results were good and excellent in 18 cases (85.7 per cent).

DISCUSSION-CONCLUSION: Our study showed that among techniques for the treatment of non-union presenting a septic risk, the I.T.F.G. is one of the most reliable, with low morbidity and low cost. The authors recommend this type of surgery particularly in developing countries.