Ilizarov Treatment Of Complex Non-Union Tibia
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Non-union tibia is more common compared to other long bone non-unions. Irrespective of the cause, complicated non-unions are difficult clinical condition to patient as well as to treating surgeon. Resistant non-union may be treated by intramedullary nailing or other methods of internal fixation. These methods are however limited in their ability deal with complications like infection, segmental bone loss, shortening and bone deformities in spite of extensive soft tissue dissection around the fracture site. Thus more advanced and biological technique like Ilizarov techniques can be used successfully in complicated non-unions. Aim: To evaluate the outcomes of Ilizarov methods of treatment in complex non-union tibia. Methods: This is a prospectively collected data of patients with complex non-union tibia treated with Ilizarov technique. The patients were evaluated clinically and radiologically with preoperative and post operative radiographs. Lengthening zone was assessed with ultrasound to assess the regenerate. All patients were followed up at regular intervals to asses union at fracture site and consolidation of regenerate. Results were assessed according to classification by ASAMI (Association for Study and Application of Methods of Ilizarov Techniques) as bone results and functional results. Results: A total of 20 cases of complex non-union tibia were operated with Ilizarov technique between 2009 to 2012 at our institution. Mean age of patients was 37.55 years. 19 patients were male (95%) and 1 patient was female (5%). Most common type of non-union in this series was infective type in 16 patients (80%), atrophic in 2(10%), and hypertrophic in 2(10%). Mean bone loss of 5.03 cm noted and mean lengthening achieved was 4.65cms. An average of 1.35 complications per patient was observed. We noted 80% excellent, 15% good, 5% fair bone results and 85% excellent, 10% good, 5% poor functional results. Conclusion: Ilizarov method of treatment addresses all the problems associated with complex non-unions and gives satisfactory results.
Authors and Affiliations
Manjunath S Daragadh, Sunil Kumar PD, Chidendra M shettar, ponnanna KM
Keywords
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