Evaluation of ilizarov in infected non-union of long bones
Keywords:
Limb Lengthening, Osteomyelitis, Bone Loss, Non Union, InfectionAbstract
nfected non-union is a common concern with fractures. Co-existing problems of bone loss, deformities, limb length inequality usually exist. Despite the advancement in treatment methods, infected non-union still remains a challenge for the surgeon as well as the patient. The aim of this study is to evaluate the efficacy of Ilizarov ring fixator in the management of infected non-union of long bones. Method: A group of 30 patients with mean age 36.26 years (18-60) were included in the study. All patients were managed with the described ring fixator. Result: Average shortening was 2.95 cm. Resolution of infection and bony union occurred in all the cases.Mean duration of treatment was 13.7 months. Bone results were found to be excellent in 16 out of 30 patients (53.33%), good in 8 patients (26.66%) and fair in 4 patients (13.33%). Poor results were found in two patients. Conclusion: The study concluded that this method is an effective treatment for the management of infected non-union.
Downloads
References
Yin P, Ji Q, Li T, Li J, Li Z, Liu J, et al. (2015) A Systematic Review and Meta-Analysis of Ilizarov Methods in the Treatment of Infected Nonunion of Tibia and Femur. PLoS ONE 10(11): e0141973. https://doi.org/10.1371/ journal.pone.0141973
Barbarossa V, Matkovic BR, Vucic N, Bielen M, Gluhinic M. Treatment of osteomyelitis and infected non-union of the femur by a modified Ilizarov technique: follow-up study. Croatian medical journal. 2001 Dec 1;42(6):634-41.
Aronson J. Current concepts review-limb-lengthening, skeletal reconstruction, and bone transport with the Ilizarov method. JBJS. 1997 Aug 1;79(8):1243-58.
Akhtar A, Shami A, Sarfraz M. Functional outcome of tibial nonunion treatment by Ilizarov fixator. Ann Pak Inst Med Sci. 2012;8(3):188-91.
Stallings JT, Lewis DD, Welch RD, Samchukov M, Marcellin-Little DJ. An introduction to distraction osteogenesis and the principles of the Ilizarov method. Veterinary and Comparative Orthopaedics and Traumatology. 1998;11(02):59-67.
Fleming B, Paley D, Kristiansen T, Pope M. A biomechanical analysis of the Ilizarov external fixator. Clinical Orthopaedics and Related Research®. 1989 Apr 1;241:95-105.
Madhusudhan TR, Ramesh B, Manjunath KS, Shah HM, Sundaresh DC, Krishnappa N. Outcomes of Ilizarov ring fixation in recalcitrant infected tibial non-unions–a prospective study. Journal of trauma management & outcomes. 2008 Dec;2(1):6.
Banks JV, Panchanni S, Davies B, Widnall JC, Giotakis N, Narayan B, Nayagam S. Bifocal treatment for femoral nonunions. InOrthopaedic Proceedings 2010 Jul (Vol. 92, No. SUPP_III, pp. 403-403). The British Editorial Society of Bone & Joint Surgery.
Lavini F, Dall'Oca C, Bartolozzi P. Bone transport and compression-distraction in the treatment of bone loss of the lower limbs. Injury. 2010 Nov 1;41(11):1191-5.
Jain S, Shah HM, Shetty N, Patel M, Tekkati RK, Khanna A, Bhangagarh G, Jain SR. Study of efficacy of ilizarov external fixation in infected non union tibial fractures (Doctoral dissertation)
Prabhu Ethiraj D, Dodamani SM, Arya S. A clinical study of Ilizarov technique in infected non union of fracture shaft of tibia. International Journal of Orthopaedics. 2016;2(4):77-80.
