---

Management and outcome of gap non-union of tibia by ilizarov ring fixator

Full Text PDF

---

Original Article

Author Details : Divyam Pandey, Prashant Upadhyaya*, Jayant Sharma, Abhishek Kumar Shukla

Volume : 10, Issue : 3, Year : 2024

Article Page : 250-255

https://doi.org/10.18231/j.ijos.2024.039

Suggest article by email

Get Permission

Abstract

Background: Road traffic accidents are of growing public health importance worldwide, contributing significantly to the global disease burden. Associated bone tissue defect and infection, commonly result in development of infected non-union. Non-union of long bones especially tibia when associated with infection has always been a challenge to orthopaedic surgeons. Bony union is not usually contained until the infection has been eradicated and there are usually coexisting problems of deformity.
Objective: The objective of the study was, to evaluate Ilizarov fixator method in the treatment of gap non-union.
Materials and Methods: A descriptive study was conducted on 25 patients admitted in Orthopaedic Department of Index Medical College, Hospital & Research centre, Indore from November 2022 to February 2024. Pre operative & post operative x-rays were done in each case. Debridement followed by fixator assembly and Uni-focal or bi-focal osteotomy followed by transport was done.
Results: Out of 25patients, 23 were male and 2 were female. The mean age of patients was 38years, with 60% being in 30-40years age group. The patients with grade II open fractures 11, grade IIIA were 6, grade I were 5 and patients with closed fracture were 3. Maximum of non-union were in the region of diaphysis and metaphysis. Our results showed that 76% of the patients has excellent or good results, of bone union. There were 48% excellent, 28% good, 16% fair and 08% poor functional results in our study. There were no failures in our study. Most common post-operative complications we came across is pin tract infection and equinus. Nearly all the complications were managed and outcome was good in these cases except for 2 cases wherein there were non-union, in which results were poor.
Conclusion: Ilizarov ring fixator is an excellent treatment modality for gap non-union of tibia, in terms of union.
 

Keywords: Ilizarov ring fixator, ASAMI, Gap non- union, Bony result, Functional result.

How to cite : Pandey D, Upadhyaya P, Sharma J, Shukla A K, Management and outcome of gap non-union of tibia by ilizarov ring fixator. Indian J Orthop Surg 2024;10(3):250-255

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.