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. 2015 Jun 12;12(4):184–192. doi: 10.1016/j.jor.2015.05.017

Table 6.

Description of cases in which treatment failure occurred.

Age Host status Etiology Site Anatomic nature Risk factors Management strategy Treatment
44 B Contiguous post-traumatic Tibia IV Compliance and motivation Curative Wide resection, Masquelet bone transport
34 C Contiguous post-traumatic Ankle IV HIV infection (CD4 <350 cells/mm3), smoking, joint involved Alternative Patient refused amputation, marginal debridement and acute shortening
25 C Contiguous post-traumatic Tibia IV HIV infection (CD4 <350 cells/mm3) Alternative Circular fixation, fibula osteotomy, CSATa
30 C Contiguous post-traumatic Midfoot IV Poor soft tissue, joint involved, foot, local extent Palliative CSATa
49 C Contiguous post-traumatic Tibia III HIV infection (CD4 <350 cells/mm3), poor soft tissue, local extent, debridement will result in instability Palliative CSATa
26 B Contiguous post-traumatic Proximal tibia IV Failed reconstruction elsewhere, joint involved, poor soft tissues Curative Wide resection, classic Masquelet
45 C Contiguous post-operative Proximal femur III Chronic venous insufficiency, joint involved, local extent, debridement will result in instability Palliative CSATa
65 C Contiguous post-operative Femur III Ischemic heart disease, smoker, diabetes mellitus (HbA1c > 8), age Palliative CSATa
46 B Hematogenous Pelvis III Smoking, local extent, pelvis Curative Marginal resection, PMMA beads
38 C Contiguous post-operative Humerus IV HIV infection (CD4<350cells/mm3), adjacent joint stiffness, local extent, diabetes mellitus Palliative CSATa
48 C Contiguous post-traumatic Proximal tibia III HIV infection (CD4 <350 cells/mm3), smoking, local extent, poor soft tissues Palliative CSATa
a

Chronic suppressive antibiotic therapy.