Table 2.
Group II using the method of acute shortening in the case of consequences of trauma
| Authors, publication date | Number of patients | Aetiology of the soft tissue defect | Defect closure method (shortening, angulation, rotation, combined) | Area of the soft tissue defect | Deformity correction method | The need for microsurgical intervention | Time of fixation in the ExFix | Size of the bone defect | Restoration of anatomy and function of the limb | Complications | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Bundgaard and Christensen, 2000 | 1 | Open fracture of Gustillo type IIIB, subsequent infection | Acute shortening 3 cm and subsequent gradual shortening (1–2 mm per day) with angulation (4° per day) | 10 × 15 cm | Correction of the angulation and lengthening with the Ilizarov apparatus | None | 357 days | 9 cm | Anatomy: complete restoration of limb length Function: limited range of motion in the ankle joint (Ext/Flex—5/15°) | Were not observed |
| 2 | Nho et al., 2006 | 1 | Open fracture of Gustillo type IIIA, subsequent infection | Acute shortening and angulation | 2.5 × 2.5 cm | Angulation correction and lengthening by the TSF | None | 7 months | 6 cm | Anatomy: complete restoration of limb length Function: return to previous activity level | No data |
| 3 | Rozbruch et al., 2006 | 25 | Infectious consequences of open fractures type Gustillo II—2, Gustillo IIIA—5, Gustillo IIIB—14, Gustillo IIIC—4; flap problem—2 | Acute shortening for defects <3 cm, and gradual shortening for defects >3 cm (monofocal, bifocal and trifocal approach) | The mean size—10.1 (2–25) cm | Lengthening with the Ilizarov apparatus—23 Deformity correction with Taylor spatial frame—2 | Autodermaplastic | 10–82 weeks | The mean size—6 (2–14) cm | Anatomy: residual deformity—7 | Inflammation in the TE area—11 |
| 4 | El-Rosasy, 2007 | 21 | Open fracture of Gustillo type IIIA/B—10, infected non-union—11 | Acute shortening to safe limits and subsequent gradual shortening of 2–3 mm per day | No data | Lengthening with the Ilizarov apparatus for defects >5 cm Lengthening with Orthofix apparatus for defects <5 cm | Autodermaplastic—2 Rotated flap—1 | 3.5–11.6 months | The mean size—4.7 (3–11) cm | Anatomy: complete restoration of limb length—13, residual shortening—8 | Refracture—1 Temporary paralysis of the peroneal nerve—1 Equinus contracture—1 Inflammation in the TE area—5 Flexion contracture of the knee joint—3 |
| 5 | Gulsen and Özkan, 2009 | 3 | Open fracture of Gustillo type IIIB—2, infected non-union—1 | Gradual shortening and/or angulation | 5 × 4 cm, 15 × 10 cm | Correction of the angulation and lengthening the Ilizarov apparatus | None | 182–392 days | The mean size—7.5 (4–11) cm | Anatomy: excellent—3, residual shortening—1 Function: excellent—2, satisfactory—1 | No data |
| 6 | Demir et al., 2009 | 8 | Infected non-union | Acute shortening | No data | Lengthening with monolateral ExFix—7 Ring ExFix—1 | None | 9.6 (6–16) months | 8.6 (6–10) cm | Anatomy: amputation—1, residual shortening—3, full recovery—4 Function: excellent—1, good—6 | Inflammation in the TE area—6, delayed consolidation—1, stiffness of the ankle joint—3, equinus contracture—1, destabilization of the apparatus—1, deep infection of TE—1, uncontrolled infection—1 |
| 7 | Lahoti et al., 2013 | 7 | Open fracture of Gustillo type IIIB—5, infected non-union—2 | Acute shortening—1 Angulation—3 Acute shortening and angulation—1 Acute shortening, angulation and rotation—2 | 3–10 cm | Deformity correction by the TSF | None | 6–9.5 months | No data | Anatomy: complete restoration of limb length | Inflammation in the TE area—1 |
| 8 | Atbasi et al., 2014 | 17 | Infected non-union—16, open fracture—1 | Acute shortening | The mean size—7 × 6.8 (3 × 3–10 × 10) cm | Lengthening with the Ilizarov apparatus | No data | 3–12 months | 1–6 cm | Anatomy: excellent—11, good—3, bad—3 Function: excellent—10, good—4, satisfactory—3 | Refracture—1, amputation—1, inflammation in the TE area—2 |
| 9 | Minoughan et al., 2019 | 1 | Open fracture of Gustillo type II, subsequent infection | Acute shortening and angulation | 1 × 3 cm | Deformity correction by the TSF | None | 24 weeks | No data | Anatomy: complete restoration of limb length Function: return to the previous activity level | No data |