Chronic tibial osteomyelitis Musculoskeletal Diseases
Conditions
Interventions
L-shaped corticotomy with bone flap sliding
Sponsors
Orthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. Patients with chronic osteomyelitis only involving the anterior tibial cortex
Exclusion criteria
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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 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 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pin tract inflammation was made according to Dahl’s grading every month after surgery 2.. Bone healing criteria according to the criteria of Paley at the last follow-up 3.. Bone functional results according to the criteria of Paley at the last follow-up 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. 5. Impact of the musculoskeletal condition assessed using Short-form Musculoskeletal Function Assessment (SMFA) questionnaire at 2, 12 and 25 weeks 6. Quality of life assessed using the 36-item Short Form Health Survey (SF36) at 2, 12 and 25 weeks 7. Pain assessed using a visual analogue scale (VAS) with results taken in line with standard care | — |
Countries
China
Contacts
Public ContactPei Han
Outcome results
None listed