Role of distraction compression osteogenesis by ilizarov ring fixator in complex non-union of long bones

• Author Details:   
• Amit Kumar Sharma
• Jayant Sharma

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Purpose: To review the outcome of 16 patients who underwent compression distraction osteogenesis for long bone nonunion by ilizarov ring fixator.
Methods: A total of 16 patients were reviewed (13 male, 3female) of average age 46 years (17-60). All patients underwent compression distraction osteogenesis for union & bone lengthening by ilizarov ring fixator. Patients were assessed by ASAMI criteria for functional and bone outcome.
Results: Patients were followed up for a mean period of 10 months. Functional outcome was assessed Excellent=7, Good=7, Fair=2 & Bone union outcome was Excellent=5, Good=10, Fair=1.
Pin tract infection was most common problem encountered other were wire breakage, pressure necrosis, knee contracture and refracture all were managed accordingly.
No major neurovascular complication was encountered.
Conclusion: We concluded that ilizarov ring fixator is a viable option for Non-union of long bone.

Keyword: Non –union, Ilizarov, Ring fixator, Distraction, Compression, Osteogenesis