Profilaksa DVT kod velikih ortopedskih operacija - Depol ...

20 - 22 September 2012, Opatija, Croatia
NON UNION TREATMENT WITH NEW BONE REGENRATION-
SOLVING BY FixAS
Šabić Nedžad, Poliklinika Dr Šabić, Zenica, Bosnia and Herzegovina
Tarik Kapidžić, Cantonal Hospital, Bosnia and Herzegovina
Enver Šabić, Poliklinika Sunce, Bosnia and Herzegovina
Faruk Hodžić, Cantonal Hospital, Bosnia and Herzegovina
Intraduction:Getting the new-quality bone by distraction of pineal body (epiphysis-growth plate, Ring 1958,
Zivyalov and Plaskin 1968, Ilizarov 1969, Monticelli and Spineli 1981) as well as by distraction calus after corticotomy
and metaphysary lenghtening (Ilizarov 1971, 1988, 1989, Alberty 1990, Terjesen 1984, 1988, Adolphson 1990),
has enabled treatment of larger bone defects without autografted cancellous bone with regenerate which is appropriate
with its width and density. This has been, certainly, made easier with tehnical improvements of fixators
and dynamic possibilities of structures with area, flexible and extrafocal stability. Methods: When solving infected
non-union with bone defects, beside regaining bone continuity and length there is a problem of infection, which
is the heaviest complication in bone-joint surgery..This work presents possibilities of compression – distraction
method by Fix-AS.
1 st GROUP: fixation with shortening of extremities and achieving the length after cover the soft tissue defect.
2 nd GROUP: fixation of the non union with the full length of the extremity and levelling with the nearby joint areas
and treatment of the defect, either by int. or exter. transport
Results: Followed by ways at solving contractures, deformations achieving full length of extremity with simultaneous
infection sanation and non-union consolidation in natural ways. For the last 25 years we*ve successfully
treated 435 non-union, of which 241 infected ones, 185 with bone defect, 51 over 5 cm , which is especially
emphasized in this work. This work analyses and presents infection – defect non-union, after war injuries and
failed treatment by others methods. Conclusion: This way, extremity is saved even in heaviest cases, unlike other
methods (bone grafting, free flap), which were more expensive and unformal, often ended by an amputation.
Oral
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