Experience in fixation of infected non-union tibia by Ilizarov technique – a retrospective study of 42 cases

Meleppuram, Jimmy Joseph; Ibrahim, Syed

doi:10.1016/j.rboe.2016.11.008

Cited by 24 publications

(52 citation statements)

References 18 publications

(22 reference statements)

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“…The Ilizarov technique offers an effective and safe manner of treating some of the most challenging conditions in orthopedics, such as complicated fractures, infected fractures, or nonunions of tibia. In our study, the average duration of fixation was about six months, which is slightly shorter than in the study by Meleppuram and Ibrahim [27], who showed that the average duration of fixation was 8-10 months. Some studies have shown that smoking had negative effects on fixation, in terms of lengthening the time of fixation, as well as on bone lengthening index [29].…”

Section: Discussioncontrasting

confidence: 73%

“…This further implicates that the Ilizarov fixation method is safe and provides good results. In addition, the results of Meleppuram and Ibrahim [27] showed the similar rate of complications per patient, which was 1.6.…”

Section: Discussionmentioning

confidence: 65%

“…The other authors also measured functionality after procedure. Meleppuram and Ibrahim [27] showed good bone results in 60% of patients, but functional results were worse than bone results. It shows that excellent bone results do not guarantee good functionality.…”

Section: Discussionmentioning

confidence: 95%

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Single center experience in treatment of tibial shaft fractures using Ilizarov technique

et al. 2020

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Introduction/Objective Since tibial shaft is a common location of opened and closed tibial fractures, it is very important to determine the best method of treating these fractures. Our objective was to assess whether the Ilizarov technique is appropriate in terms of complications, outcomes, and pain reduction in treatment of patients with tibial shaft fracture. Methods Retrospective analysis included all consecutive patients with tibial shaft fracture treated with the Ilizarov technique in the period from January 2013 to June 2017 at the Banjica Institute for Orthopaedic Surgery, Belgrade, Serbia. Demographic and clinical data on patients were collected. Pain was assessed using visual analogue scale of pain. Two models of uni-and multi-variate linear regression analysis were performed. Results The study showed that the overall rate of complications was low, and that hypertension, administration of antibiotics, and reoperation prolonged fixation. Also, severe fractures and longer procedure time delay mobilization. Significant reduction of pain was observed. Conclusion The Ilizarov technique is a safe and reliable method in the treatment of patients with tibial shaft fractures and is followed by pain reduction, overall improvement of functioning, good outcomes, and is not commonly associated with complications.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 65%

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Single center experience in treatment of tibial shaft fractures using Ilizarov technique

et al. 2020

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“…1). All of these adversely affect the course of treatment and increase the risk of treatment failure [1][2][3][4][5][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. In nonunions of the tibia, the Ilizarov method helps achieve bone union, eliminate possible infections, equalize limb length, and correct any deformities that may have developed over the course of treatment [1-5, 7-12, 14-18, 20-22].…”

Section: Introductionmentioning

confidence: 99%

The outcomes of Ilizarov treatment in aseptic nonunions of the tibia stratified by treatment strategies and surgical techniques

Szelerski

Kozłowska

Żarek

et al. 2020

Preprint

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INTRODUCTIONNonunions of the tibia, particularly those located in the distal third of the bone, are relatively common in clinical practice. There is no gold standard for the treatment of nonunions of the tibia. The purpose of our study was to assess the results of treatment with the Ilizarov method in patients with aseptic nonunions of the tibia, depending on the employed treatment strategies and surgical techniques.MATERIALS AND METHODSA total of 75patients with Ilizarov treatment of aseptic nonunions of the tibia were evaluated in the study. The patients’s mean age at the beginning of treatment was 46years.The mean follow-up period was 10years and 11months.The evaluated patients underwent either closed technique or open technique. The operators used one of two treatment strategies: neutral fixation without compression or continued compression.The following were assessed: rates of union, ASAMI bone scores, ASAMI functional scores, treatment time, complications, duration of hospital stay.RESULTS: Bone union was achieved in all of the75evaluated patients. The results of most analyses showed no significant differences in the assessed variables, except for the ASAMI functional scores, which were higher in the group of patients who underwent closed surgery (Me=6.00vs.Me=4.00).DISCUSSIONWe observed better ASAMI functional score outcomes in the patients who underwent closed fixation than in the open fixation group.The different surgical techniques and treatment strategies had no effect on the number of complications, rates of bone union,length of hospital stay,duration of Ilizarov treatment,or ASAMI bone scores.For managing nonunions of the tibia we recommend the technique of closed fixation without continued compression.The Ilizarov method in the treatment of nonunions of the tibia gives good outcomes.Level of EvidenceDiagnostic Level IV

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“…7 These injuries are usually accompanied by significant soft tissue involvement and risk of secondary infections, non-union and malunion. 8 Ilizarov fixators with tensioned small wire-fixations have reported to bear satisfactory results in all these cases. It is important not to miss other injuries which may be present in these patients which may include musculoskeletal or spinal injuries.…”

mentioning

confidence: 95%

Combined free flap and ilizarov bone reconstruction in complex lower limb trauma: our experience

Mahajan¹,

Singh²,

Singh³

et al. 2018

Int J Res Orthop

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Background: Reconstruction of complex lower limb trauma is a major concern for both plastic and Orthopedic surgeons. The use of free flap with Ilizarov method for soft tissue coverage and bone reconstruction not only gives the patient near normal shape and function but also allows early mobilization of the patient, even during the process of distraction with Ilizarov method.Methods: In this study patients with bone and soft tissue defects of the lower leg were included in the study. Our protocol was immediate wound debridement along with application of external fixator and early free flap coverage within 48-72 hours. After 3-4 weeks of the free flap transfer definitive bone reconstruction is done with Ilizarov method.Results: 122 flaps survived fully and distal flap necrosis occurred in 4 patients. Necrosis of flap occurred before the start of bone reconstruction with Ilizarov and was managed conservatively or with skin graft. Pin tract infection occurred in 45 (35.71%) patients and was treated by pin care and antibiotics. Other complications in treated patients included pain due to distraction (33.33%). delayed union at docking site (11.90%), discrepancy of limb size (9.52%) and union with deformity (6.35%). The functional outcome was satisfactory in majority of the cases.Conclusions: Combined use of free flap and Ilizarov provides a more reliable soft tissue coverage and bone reconstruction with almost near normal shape and function. It has advantages like regenerating same quality bone and allowing the early mobilization of the patient with acceptable rate of complications.

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Experience in fixation of infected non-union tibia by Ilizarov technique – a retrospective study of 42 cases

Cited by 24 publications

References 18 publications

Single center experience in treatment of tibial shaft fractures using Ilizarov technique

Single center experience in treatment of tibial shaft fractures using Ilizarov technique

The outcomes of Ilizarov treatment in aseptic nonunions of the tibia stratified by treatment strategies and surgical techniques

Combined free flap and ilizarov bone reconstruction in complex lower limb trauma: our experience

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