Gunawan B, Wijaya MT, Pohan MAS. Reconstruction of tibial bone defect in new age using the old age Papineau technique: A case series.
Ann Med Surg (Lond) 2019;
48:109-114. [PMID:
31763036 PMCID:
PMC6864346 DOI:
10.1016/j.amsu.2019.10.028]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Accepted: 10/24/2019] [Indexed: 11/26/2022] Open
Abstract
Introduction
Despite advances in treatment, chronic osteomyelitis and infected nonunion after trauma remain a challenge to the orthopaedic field. The Papineau technique, firstly described in 1973, is an alternative to treat such conditions in hospitals where microsurgery is not available, making closure of defect using flap is not feasible. We described our experience in treating patients with chronic osteomyelitis and infected non-union of tibial fractures using the Papineau technique.
Methods
We reviewed the records of patients with severe open tibial fractures with bone defects who were treated using the Papineau technique at Cipto Mangunkusumo Hospital, Jakarta, Indonesia during the period of January 2017 to August 2019. Those with diabetes mellitus, severe liver disease, or malignancies were excluded. All surgical procedures were performed by one senior orthopedic surgeon.
Results
A total of four subjects were enrolled in this study. All subjects were male, with a mean age of 29 ± 6.16 years of age. The mean time to granulation tissue was 21.5 ± 1.29 days, and the mean time to union was 6 ± 0 months. There were no complications.
Conclusions
The Papineau technique may provide successful eradication of infection, reconstruction of bone defect, and soft-tissue closure. In addition, this technique is feasible and safe, and it could be performed in small healthcare centres.
Cases of chronic osteomyelitis and infected nonunion after trauma remain a challenge.
No consensus regarding the best method.
In Indonesia studies regarding the use of the Papineau technique never been conducted.
The Papineau technique could be performed in small healthcare centres.
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