Mono-focal Distraction Osteogenesis in Management of Traumatic Bone Loss (Systematic Review of Literature)

Abstract

Traumatic bone loss poses a serious problem for orthopedic surgeons added to the long standing risk of infection implied by open type fractures. This study aims to assess the efficacy of distraction osteogenesis in compensating bone defects using the Paley score for functional and radiological outcomes. While the problem at hand is multifaceted with many variables regarding Size of bone defect, type of bone injured and condition of soft tissue associated with the traumatic event, a concise introduction to the problem and focus on key criteria upon which Distraction osteogenesis among other techniques is chosen as main line of treatment. We searched the literature through PubMed database with publication date restricted to 10 years range from 2009-2019 English literature of prospective studies only were selected with strict inclusion criteria where repeated articles were excluded unless they presented follow up with functional outcome data about cases. Seven studies were included satisfying the predetermined inclusion criteria with total of 242 cases