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

Outcome of tibial infected non‑union with Ilizarov technique

  • Karim Bakhsh
  • Atiq-Ur- Rehman
  • Faridullah Khan Zimri
  • Eid Mohammad
  • Wazir Ahmed
  • Muhammad Saaiq National Institute of Rehabilitation Medicine (NIRM), Street No.9, G-8/2, Islamabad.
Keywords: Ilizarov technique, Ilizarov method, Infected non unions of the tibia, Bone healing.

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±9.98 years. 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):136-140.
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.

Published
2019-01-22
Section
Original Articles