Presentation and management outcome of tibial infected non‑union with Ilizarov technique

Abstract

Objective: To document the presentation of tibial infected non-union and analyze the management outcome with Ilizarov technique in terms of bone results, functional outcome, bone transport time, external fixation time, external fixation index and any complications.
 Methods: This case series was conducted at the Departments of Orthopedic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad and Civil hospital, Quetta over a period of 3-years.
 Results: There were 56 patients with 53(94.64%) males and 3(5.35%) females. The age range was 16-50 years with a mean of 32.58±9.98years. According to ASAMI criteria, bone results were excellent in 37(66%), good in 10(17.85%), fair in 6(10.71%) and poor in 3(5.35%). The functional results were excellent in 37(66%), good in 9(16%), fair in 7(12.5%) and poor in 3(5.35%). The bone union rate was 98.21%.
 Conclusion: Ilizarov method beautifully addresses the formidable issue of infected non union of tibia with good outcome in terms of bone healing and infection eradication. The treatment period is relatively lengthy and hence patience on part of patient as well as the surgical team is imperative for achieving favourable outcomes.
 How to cite this:Bakhsh K, Atiq-Ur-Rehman, Zimri FK, Mohammad E, Ahmed W, Saaiq M. Presentation and management outcome of tibial infected non‑union with Ilizarov technique. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.67
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Outcome of complex non-unions of femoral fractures managed with Ilizarov method of distraction osteogenesis

“…In our study the bone results were excellent in 34% and good in 60% patients. Our outcome results conform favorably to most of the published literature 8,14-18. We had infection eradication among 94% patients.…”

“…Most of the previously published local studies and literature on Ilizarov method have focused on the management of tibial fractures and correction of congenital deformities 18,20-22. Hence there is relative scarcity of similar local studies pertaining to the management of complex femoral non unions.…”

Presentation and outcome of femoral infected non-unions in children and adolescents

“…There are few reported local studies regarding the use of Ilizarov method for lower limb injuries among adults, however there is scarcity of such studies regarding childhood fracture non unions. 5 , 6 …”

Impact of Ilizarov Fixation Technique on the Limb Functionality and Self-esteem of Patients with Unilateral Tibial Fractures

“…High-energy traumatic injuries with associated soft tissue and skeletal injuries present management challenges. Tibial fractures and their nonunion are frequently reported in high-energy traumatic injuries to the lower limbs [1,[6][7].…”

“…It tackles all of the above-discussed issues with tibial nonunion simultaneously. It enables regeneration of large bony defects, removes infected nonunion, provides stable fixation, and allows early weight-bearing and mobility [6,8].…”