Infected regenerate in ilizarov surgery

Abstract

Background: The regenerate is the newborn of the distraction process, and it passes by many changes during its growth and maturation. Many complications can take place at the regenerate site. The aim of this study is to highlight infection as a possible complication that may affect the regenerate during bone lengthening. Patients and Methods: In this study, we present three cases who were complicated by infection of the regenerate. The diagnosis and management were described in details. Results: The predisposing factors for this complication may be patient-related or technically related factors. The isolated organisms were Escherichia coli, Staphylococcus epidermidis, and Staphylococcus aureus. Infection was controlled in all cases. The desired length was achieved in two cases, and one case was left with residual shortening of 2 cm. Conclusion: Infection of the regenerate is a rare but serious complication. A high index of suspicion is required for its diagnosis, and few options are available for its management.