Nursing technique on treatment of tibial bone defect by combined Ilizarov technology and bone transport

Abstract

Objective To explore key points of nursing in treatment of tibial bone defect by united Ilizarov technology and bone transport. Methods A total of 12 patients treated tibial bone defect with combined Ilizarov technology and bone transport were retrospectively analyzed and summarized. Results All 12 patients were followed up for 5 to 24 months. Their average bone healing time was (9.4±2.6) months, and average external fixation removal time was (10.6±2.6) months. In one case, a little infection happened to the nail trail; after removal of crusts, the local part was cleaned with 75% alcohol cotton swab and kept dry, then the infection became better 2 days later. In another case, nonunion happened between the bone transport segment and the distal segment, so bone graft was done again. 2 cases of limb pain became better after delaying bone transport. No patients had complications due to nursing care. Conclusions Application of Ilizarov technique combined with bone transport on the treatment of tibial bone defect has advantages like small trauma, quick bone healing, equal length of lower limbs, and flexible knee joints. To guarantee operation effect and to improve patients′ satisfaction, what is needed is postoperative observation and nursing of complications, psychological nursing, nursing in bone transport period, functional exercise and discharge guidance. Key words: Orthopedic nursing; Tibial bone defect; Ilizarov technology; Bone transport