Risk factors associated with infection recurrence of posttraumatic osteomyelitis treated with Ilizarov bone transport technique—a retrospective study of 149 cases

摘要

A male patient with left tibia fracture caused by traffic accident and post-traumatic osteomyelitis after plate internal fixation.(A). X-ray film at 12 months after removal of the internal fixator showing tibia osteomyelitis; (B). Anteroposterior X-ray films on the day after radical debridement and installation of external fixation; (C) Anteroposterior X-ray films at 119 days after operation, showing bone contact was reached; (D). Lateral X-ray films at 11.5 months after operation shows good regenerate consolidation,and bone grafting at the docking site.(E). After 9 months removed external fixation, infection recurrence were located in the distraction region .The patient suffered refracture at the docking site at the same time, which were treated with debridement, antibiotic cement and extenal fixation.(F,G) Function recovery at 19 months after removal of external fixator