Can Na18F PET/CT Be Used to Study Bone Remodeling in the Tibia When Patients Are Being Treated with a Taylor Spatial Frame?
Table 1
Patient description (N/A means not applicable).
Patient
Age
Sex
Days first PET/CT
Days second PET/CT
Reason
Resolution
Days TSF applied
P1
52
M
40
84
Fracture of upper end of tibia, closed; delayed fracture healing in left leg
TSF extraction healed
167
P2
44
M
50
122
Pseudarthrosis right lower leg
TSF extraction healed
161
P3
35
M
43
85
Genu Varum (bow leg), pseudoachondroplasia
TSF extraction healed
182
P4
17
F
52
94
Reduction malformation right lower leg
TSF extraction healed
345
P5
31
M
48
129
Fracture of upper end of tibia, closed, osteomyelitis right lower leg
Patient chose to have leg amputated because of continued infection
226
P6
28
M
60
184
Fracture of upper end of tibia, closed, tendon trouble for other fractures of the lower extremity, infected pseudarthrosis left lower leg, remaining foreign body in the soft tissue
Patient was monitored with planar X-ray imaging and was fully weight bearing and painless after several weeks. However, a CT scan showed a hypertrophic nonunion. He is now planned for lengthening of the tibia proximally and compression/stabilization of the nonunion
N/A
P7
45
F
50
91
Nonunion/pseudarthrosis distal tibia/pilon fracture right mechanical complication of osteosynthesis (broken bolts) right distal tibia
Planar X-ray was not able to identify any healing disturbances; however, a CT clearly showed a nonunion. The low uptake at 50 days perhaps should have been an indication that an early revision with autologous bone graft would have been beneficial to the patient
N/A
P8
64
M
274
N/A
Refracture in segmental tibial fracture on the left leg
TSF extraction proximal tibia healed—applied cast to distal tibia