Table 9.
Author | Year | Number of cases | Management | Follow-up, Mean (range) | Functional outcome |
---|---|---|---|---|---|
Egol et al. [46] | 2009 |
Tibia: 24 Femur: 16 |
Debridement + saline irrigation | 21 months (10–57) | SMFA: Mean dysfunction score 53.8 (range 41.9–76.3). Mean bother index 51.5 (range 42.6–73.9) |
Campbell et al. [31] | 2011 | Tibia: 12 | Debridement, local antibiotics, ex-fix + soft tissue coverage | 50 months (26–72) | LEFS: Median score 51 (range 14–80) |
Wu et al. [43] | 2017 |
Tibia: 16 Femur: 19 |
Debridement, local antibiotics, fixation (internal—26, external 9) + soft tissue coverage (8 pts) | 29.5 months (24–45) | LEFS: Mean score 65.6 (range 37–80) |
Li et al. [47] | 2019 | Tibia: 18 | Debridement, local antibiotics, ex-fix + soft tissue coverage | 29.7 months (24–36) | Enneking score: pre-operatively: 9.78 ± 1.26, post-operatively: 24.44 ± 4.27 (representing 81.5% of normal function) |
Hotchen et al. [45] | 2020 |
Tibia: 34 Femur: 22 |
Debridement + local antibiotics ± fixation if indicated | 12 months |
EQ-5D-3L index score: pre-operatively: 0.284, 1 year post-operatively: 0.740 EQ-VAS: Pre-operatively: 58.2, 1 year post-operatively: 78.9 |
Arshad et al. [44] | 2021 | Femur: 14 | Debridement + local antibiotics ± fixation if indicated | 21.4 months (7–49) |
EQ-5D-3L index: Mean score 0.360 EQ-VAS: Mean score 61.6 |
Current study | 2021 |
Tibia: 24 Femur: 13 |
Debridement ± local antibiotics, ± fixation ± soft tissue coverage | 111 months (66–177) |
LEFS: Median score 60 (range 21–80) EQ-5D-3L: Median score 0.760 EQ-VAS: Median score 80 |
LEFS lower extremity functional scale, SMFA short musculoskeletal function assessment