A Bone Graft And External Fixation For The Treatment Of Infected Nonunion, Bone Defects

Objective: To summarize the experiences.of Professor Liu Jing-sheng on treating infectious nonunion and bone defect with first-stage bone grafting and external fixation. Method: Twenty-one patients with infectious nonunion were followed up in this group, among which 17 was in tibia and 4 in femur. All the patients were treated with first-stage bone grafting and external fixation after extensive debridement. Seven of them were performed musculocutaneous flap transfer simultaneously. Results: Healing time of infectious wound was 2.5 weeks on average while the clinical union time of the bone was 4. 5 months. Conclusion: Providing that the lesion was executed extensive debridement, first-stage bone grafting combined with external fixation is a viable and essential alternative for infectious nonunion.