• Home
  • NEW DAY MEDICINE
  • 4 (90) 2026
  • 17 -4 (90) 2026 - Davirov Sh.M., Urinbaev P.U. - RECONSTRUCTION OF POST-OSTEOMYELITIC DEFECTS OF THE FOREARM BONES WITH A FIBULAR AUTOGRAFT UNDER CONDITIONS OF ILIZAROV COMPRESSION-DISTRACTION OSTEOSINT

17 -4 (90) 2026 - Davirov Sh.M., Urinbaev P.U. - RECONSTRUCTION OF POST-OSTEOMYELITIC DEFECTS OF THE FOREARM BONES WITH A FIBULAR AUTOGRAFT UNDER CONDITIONS OF ILIZAROV COMPRESSION-DISTRACTION OSTEOSINT

RECONSTRUCTION OF POST-OSTEOMYELITIC DEFECTS OF THE FOREARM BONES WITH A FIBULAR AUTOGRAFT UNDER CONDITIONS OF ILIZAROV COMPRESSION-DISTRACTION OSTEOSINTHESIS

Davirov Sh.M. - Samarkand State Medical University

Urinbaev P.U. - Samarkand State Medical University

Mansurov Dj.Sh. - Samarkand State Medical University

Abdurakhmonov Sh.B. - Samarkand branch of the Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics

Hamiraev S.P. - Samarkand branch of the Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics

Resume

Post-osteomyelitic segmental diaphysis defects of the forearm bones are associated with a high rate of infection recurrence and functional impairment, making the choice of reconstructive strategy a clinically and socially significant challenge. This prospective study (2019–2024) included (median age — 29 years) with bone defects (6.4±1.1 cm) following radical sequestrectomy. A two-stage surgical strategy was implemented: (1) to sanitize the focus infection, compression-distraction osteosynthesis using the Ilizarov method was performed for 7-8 weeks; (2) defect replacement with a non-vascularized fibular graft, supplemented by intramedullary wire stabilization and re-application of the Ilizarov frame. Consolidation was assessed radiographically, quality of life was evaluated using the SF-36 questionnaire, and functional outcomes were measured by the Mayo Elbow Performance Score (MEPS). The average integral SF-36 score was 80 (range: 65–95). At the 12-month follow-up, MEPS scores ranged from 50 to 69, corresponding to satisfactory function. No cases of infection recurrence, osteolysis, or graft fractures were recorded. The results demonstrate that combining extrafocal fixation with fibular autografting provides reliable biomechanical stability, promotes early graft revascularization, and minimizes the risk of infectious complications. Compared to traditional osteosynthesis methods, this modified technique achieves faster consolidation rates and reduces the overall duration of external fixation. These findings align with literature data on the use of non-vascularized bone grafts for defects up to 10 cm. The clinical evaluation of this modified technique showed a high percentage of consolidation without serious complications, alongside significant improvements in functional and subjective quality-of-life indicators. The method is a biologically sound, minimally invasive, and cost-effective solution for treating post-osteomyelitic defects up to 10 cm and can be recommended for clinical practice.

Keywords: post-osteomyelitic defects; forearm bone diaphysis; fibular autograft; Ilizarov apparatus; intramedullary fixation; distraction osteogenesis; quality of life

First page

111

Last page

124

For citation:Davirov Sh.M., Urinbaev P.U., Mansurov Dj.Sh., Abdurakhmonov Sh.B., Hamiraev S.P.- RECONSTRUCTION OF POST-OSTEOMYELITIC DEFECTS OF THE FOREARM BONES WITH A FIBULAR AUTOGRAFT UNDER CONDITIONS OF ILIZAROV COMPRESSION-DISTRACTION OSTEOSINTHESIS//New Day in Medicine 4(90)2026 111-124 https://newdayworldmedicine.com/en/new_day_medicine/4-90-2026

List of References

  1. Голяховский В, Френкель В. Руководство по чрескостному остеосинтезу методом Илизарова. СПб.: Питер; 1999. 704 с.
  2. Давиров ШМ, Уринбоев ПУ. Лечение пациента с открытым переломом костей предплечья и обширным дефектом костной ткани (случай из практики). Гений ортопедии. 2021;27(1):87–91. doi:10.18019/1028-4427-2021-27-1-87-91
  3. Давиров ШМ, Уринбоев ПУ. Лечение пациента с открытым переломом плечевой кости с обширным дефектом костной ткани с использованием костной пластики (случай из практики). Гений ортопедии. 2022;28(1):91–96. doi:10.18019/1028-4427-2022-28-1-91-96
  4. Клюшин НМ. Метод Илизарова в гнойной остеологии. Курган; 2019. 7 с.
  5. Ташпулатов АГ, Исроилов Р, Яхшимуратов КК. Морфологическая оценка репаративной регенерации тканей в зоне ложных суставов и дефектов длинных костей в условиях гнойной инфекции. Гений ортопедии. 2010;(4):51–55.
  6. Mauffrey C, Barlow BT, Smith W. Management of posttraumatic segmental bone defects. J Am Acad Orthop Surg. 2015;23(3):143–153.
  7. Papacostidis C, Bhandari M, Giannoudis PV. Distraction osteogenesis in the treatment of long bone defects of the lower limbs: effectiveness, complications and clinical results; a systematic review and meta-analysis. Bone Joint J. 2013;95-B:1673–1680.
  8. Rohilla R, Siwach K, Devgan A, Singh R, Wadhwani J, Ahmed N. Outcome of distraction osteogenesis by ring fixator in infected large bone defects of tibia. J Clin Orthop Trauma. 2016;7:201–209.
  9. Илизаров ГА. Основные принципы чрескостного компрессионного и дистракционного остеосинтеза. Ортопедия, травматология и протезирование. 1971;(11):7–15.
  10. Cao Z, Zhang Y, Lipa K, Qing L, Wu P, Tang J. Ilizarov bone transfer for treatment of large tibial bone defects: clinical results and management of complications. J Pers Med. 2022;12(11):1774. doi:10.3390/jpm12111774

    file

    download