Clinical Study

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).

PatientAgeSexDays first PET/CTDays second PET/CTReasonResolutionDays TSF applied

P152M4084Fracture of upper end of tibia, closed; delayed fracture healing in left legTSF extraction healed167
P244M50122Pseudarthrosis right lower legTSF extraction healed161
P335M4385Genu Varum (bow leg), pseudoachondroplasiaTSF extraction healed182
P417F5294Reduction malformation right lower legTSF extraction healed345
P531M48129Fracture of upper end of tibia, closed, osteomyelitis right lower legPatient chose to have leg amputated because of continued infection226
P628M60184Fracture 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 tissuePatient 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
P745F5091Nonunion/pseudarthrosis distal tibia/pilon fracture right mechanical complication of osteosynthesis (broken bolts) right distal tibiaPlanar 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
P864M274N/ARefracture in segmental tibial fracture on the left legTSF extraction proximal tibia healed—applied cast to distal tibia 328
P936M135N/APseudarthrosis right lower legTSF extraction healed211