الفهرس 
The Anatomical Consideration for TibialOnly 14 pages are availabe for public view
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Abstract
A soft tissue defect is one of the most challenging problems that may accompany tibial nonunion with bone defects. Forty patients with composite bone and soft tissue defects in post-traumatic tibial nonunion were managed by ilizarov distraction osteogenesis techniques between 2010 and 2015 by the senior author.
In this prospective, one-center study we compared two techniques of distraction osteogenesis; 20 patients treated using segmental bone transport technique and 20 patients were treated using acute compression and distraction technique. The mean age of the patients was 33.7 years (18 to 58) and the mean bone gap after resection and debridement was 3.6 cm in acute shortening (group I) and 6.9 cm in bone transport (group II). The mean follow-up was 20 months (12 to 32).
At latest follow-up, functional and radiographic results were evaluated. There was no difference on ASAMI scoring system regarding bony (p=0.64) and functional (p=0.73) results between two techniques, and in the total number of complication (p=0.19). Mean external fixator index was lower in the acute shortening group compared to bone transport group (p=0.03). The bone transport group required additional bone grafting in four patients (20%) prior to union compared to one (5%) in the acute shortening group.