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shaped corticotomy with bone flap sliding in the management of chronic tibial osteomyelitis: Surgical Technique and Clinical Results

Not Applicable
Completed
Conditions
Chronic tibial osteomyelitis
Musculoskeletal Diseases
Registration Number
ISRCTN11137938
Lead Sponsor
Orthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Brief Summary

2019 Results article in https://pubmed.ncbi.nlm.nih.gov/30755228/ (added 06/12/2021)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
8
Inclusion Criteria

1. Aged 18 years or older
2. Patients with chronic osteomyelitis only involving the anterior tibial cortex

Exclusion Criteria

1. Diffuse osteomyelitis affecting both anterior and posterior cortices of the tibia
2. Severe neuro-vascular damage or mental disease or any other conditions which might lead to lack of cooperation

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. The external fixation time (EFT) represented the total number of days the external fixator was attached to the bone, calculated at the last follow-up<br> 2. The external fixation index (EFI), defined as the duration of external fixation in days divided by the total amount of lengthening in cm, calculated at the last follow-up<br>
Secondary Outcome Measures
NameTimeMethod
<br> 1. Pin tract inflammation was made according to Dahl’s grading every month after surgery<br> 2.. Bone healing criteria according to the criteria of Paley at the last follow-up<br> 3.. Bone functional results according to the criteria of Paley at the last follow-up<br> 4. Rate of bridging of at least three out of four cortices assessed by X-ray prior to the segmental excision and then at 2-weekly intervals.<br> 5. Impact of the musculoskeletal condition assessed using Short-form Musculoskeletal Function Assessment (SMFA) questionnaire at 2, 12 and 25 weeks<br> 6. Quality of life assessed using the 36-item Short Form Health Survey (SF36) at 2, 12 and 25 weeks<br> 7. Pain assessed using a visual analogue scale (VAS) with results taken in line with standard care<br>
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