Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles

Open Access

Original Research

RMJ. 2016; 41(2): 209-211

Bifocal bone transport ( Trifocal distraction compression) with Illizarov external fixator for Defective bone loss in tibia

Itaat Hussain Zaidi, Badaruddin Sahito, Syed Mohammad Tariq, Dilip Kumar, Arsalan Khalil Ayoub, Maratib Ali.

Objective: To assess the outcome of bifocal bone transport (trifocal distraction compression) for defective bone loss in tibia.
Methodology: This prospective study was conducted at department of orthopedic surgery, Dow University of Health Sciences/Civil Hospital, Karachi, Pakistan from 2000 to 2015. It included 15 patients with traumatic bone loss and infective nonunion with bone loss in tibia. Patients with bone loss in tumors were excluded from the study.
Results: Out of 15 patients, 12 were male and 3 female. Bone loss was 12 cm in 8 patients, 15 cm in 4 and 10 cm in 3 patients. All were treated with bifocal bone transport (trifocal distraction compression). Total duration of treatment in transport and consolidation was around 15 months in 8 patients, 17 months in 4 patients and 1 year in 3 patients. Additional bone graft was placed in four patients. Pin track infection was universal problem in all patients. There was no major complication. Union was achieved in all cases. Functional and radiological outcome was assessed on ASAMI scoring and showed excellent result in 12 and good in 3 patients.
Conclusion: Bifocal bone transport (trifocal distraction compression) was excellent procedure and decreased the time of bone transport. The placement of the fixator was less as compared with the unifocal bone transport in large defects. However, close monitoring is required and may need additional bone graft at distraction and compression site.

Key words: Bifocal, trifocal distrction compression, bone transport, bone loss, Illizarov, tibia

Similar Articles

Growth differentiation factor 5: a neurotrophic factor with neuroprotective potential in Parkinson's disease.
Goulding SR, Anantha J, Collins LM, Sullivan AM, O'Keeffe GW
Neural regeneration research. 2022; 17(1): 38-44

Insufficient ventilation led to a probable long-range airborne transmission of SARS-CoV-2 on two buses.
Ou C, Hu S, Luo K, Yang H, Hang J, Cheng P, Hai Z, Xiao S, Qian H, Xiao S, Jing X, Xie Z, Ling H, Liu L, Gao L, Deng Q, Cowling BJ, Li Y
Building and environment. 2022; 207(): 108414

The Evolution of Surgical Techniques and Biomaterials for Periodontal Regeneration.
Pagni G, Tavelli L, Rasperini G
Dental clinics of North America. 2022; 66(1): 75-85

Biomarkers and Periodontal Regenerative Approaches.
Gürsoy UK, Gürsoy M, Könönen E
Dental clinics of North America. 2022; 66(1): 157-167

Stretchable unidirectional liquid-transporting membrane with antibacterial and biocompatible features based on chitosan derivative and composite nanofibers.
Li L, Mai Y, Wang Y, Chen S
Carbohydrate polymers. 2022; 276(): 118703

Full-text options

Latest Statistics about COVID-19
• pubstat.org

Add your Article(s) to Indexes
• citeindex.org

Covid-19 Trends and Statistics
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.

ScopeMed Web Sites