Abstract
Twenty patients with extensive bone and soft tissue defects and posttraumatic osteomyelitis
were treated between 1983 and 1995. In all cases an external fixator was used for
bone fixation. Bone defects were managed with the Ilizarov intercalary bone transport.
Two types of traction were used: the Ilizarov type and a ‘new’ Ljubljana type. The
results of treatment were compared between the two types of traction. In all cases
delayed bony union was observed. Osteomyelitis never reactivated. All patients were
satisfied with treatment. They were all independent except for one amputee. The Ljubljana
traction method was found to have the following advantages: no discrepancy in leg
length, no orthopaedic support was needed, the aesthetic outcome was better, the traction
time was reduced and there was less soft tissue damage during bone traction.
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Article info
Publication history
Accepted:
September 28,
1999
Received in revised form:
September 15,
1999
Received:
May 9,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
