Usefulness of Ilizarov's Procedure in Infected Non-union of Tibia and Femur
Loading...
Date
2003-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
A total of 46 patients with infected diaphyseal non-union of tibia (38) and femur (8) were subjected to
Ilizarov's ring fixator. Thirty six cases were of infected nonunion with gap requiring bone transport
(Group I) while 10 cases did not require bone tranasport (Group II). In majority of group I cases
unifocal corticotomies were done through metaphyses of the bone. In two cases, where the gap was
large, bifocal corticotomies were done in tibia to shorten the treatment time. Controlled distraction was
begun after 7 day's time. Normotrophic regenerate was observed in all cases except one case of tibia
and one femur. Both these cases required cancellous bone grafting. In group II, six cases of infected
non-union of tibia and four of infected femur required only radical debridement and acute compression
at the fracture site. Failure of union was seen only in two cases. Forty four patients showed union
clinically and radiologically with a success rate of 95.4%.Equinus contracture (mild) and toe drop were
seen in one case of group I. Average follow up is of 67 months. Average distraction at corticotomy site
was 60 mm. Average time for fixator removal was 239 days.
Description
Keywords
llizarov's procedure, Bone transport, Distraction, Infected nonunion
Citation
Arora R K. Usefulness of Ilizarov's Procedure in Infected Non-union of Tibia and Femur. JK Science Journal of Medical Education and Research. 2003 Jan-Mar.5(1): 22-25