Ilizarov external fixator versus orthofix LRS in management of femoral osteomyelitis: a propensity score matched analysis

Saleh, Ayman K. and Mohd Yusof, Nazri and Attallah, Abdehamid A. and Elshal, Ehab Abdelftah and Amr Khames, Amr Abdelhalem and Ahmed Ibrahim, Mohamed Nagah and Mohamed Mahmoud, Mohamed Mosa and Abdeltawab, Gaber Eid and Abuomira, Ibrahim Elsayed Abdellatif A. (2024) Ilizarov external fixator versus orthofix LRS in management of femoral osteomyelitis: a propensity score matched analysis. Indian Journal of Orthopaedics, 58 (9). pp. 1272-1277. ISSN 0019-5413 E-ISSN 1998-3727

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Abstract

Purpose Treatment of osteomyelitis (OM) is challenging. Ilizarov bone transport is a commonly used technique for management of OM. The recently introduced limb reconstruction system (LRS) has been effectively used for management of OM. It was suggested to be easier in use and less invasive. The present retrospective study aimed to compare LRS and Ilizarov bone transport in management of femoral OM using a propensity score matched analysis. Methods The present retrospective study included 80 consecutive patients with femoral OM. The studied patients were managed either using Ilizarov external fixator (n = 40) or Orthofix LRS (n = 40). The clinical outcome measurements included union time, limb length discrepancy, additional operative procedures, refracture and infection. Results Patients in the LRS group were exposed to significantly higher frequency of bone transport (30.0 versus 15.0%) and lower frequency of acute compression and lengthening (10.0 versus 32.5%). Patients in Ilizarov group had significantly higher frequency of tobramycin pellets as compared to their counterparts. The studied groups were comparable regarding the operative complications including pin-tract infection, non-union at docking site and refracture. Patients in the Ilizarov had significantly shorter time to union (8.2 ± 3.2 versus 11.0 ± 5.6 months, p = 0.012). No statistically significant differences were found between the studied groups regarding the quality-of-life domains. Conclusions. Use of Ilizarov external fixator and Orthofix LRS devices proved to be effective and reliable. Their influences on patients’ quality appear to be comparable.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Ilizarov external fixator · Orthofix · Limb reconstruction system · Femoral osteomyelitis
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Nazri Mohd. Yusof
Date Deposited:	04 Sep 2024 15:34
Last Modified:	04 Sep 2024 16:01
URI:	http://irep.iium.edu.my/id/eprint/114256

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