Role of Ilizarov Ring Fixator in Infected Non Union Tibia


Affiliations

  • PIMS, Department of Orthopaedics, Jalandhar, Punjab, India
  • PIMS, Department of Physiology, Jalandhar, Punjab, India
  • Government Medical college, Patiala, Department of Orthopaedics, Punjab, India

Abstract

Background: The main surgical principle in the management of diaphyseal bone infection is thorough debridement of all nonviable tissue. None of the previously mentioned techniques afford surgeon the ability to correct deformities, eliminate antibiotic therapy, regenerate new bone without grafts and allow weight bearing during treatment.

Objectives: The present study was conducted to evaluate the clinical follow-up results with Ilizarov technique using three parameters: union, infection and function and to know the complications if any faced by the patients.

Material and Methods: This was a prospective study planned to evaluate the results of Ilizarov ring fixator on follow-up of 18 cases of either sex with infected non-union tibia. Average age of presentation was 34.5 years. Follow-up roentgenographs were used to assess alignment, bone contact and later callus formation. Healing status of the fracture was monitored using biplane roentgenographs, unchanged fracture alignment with loosening of the frame, absence of pain during ambulation with the frame destabilized. The data thus collected were analysed by using percentage and valid conclusions were drawn.

Result: Pain and swelling were the most common complication after application of ilizarov ring fixator. In this study of 18 cases, 11 (61.11%) patients had excellent, 2 (11.11%) good, 5 (27.77%) fair and none had poor results as per criterion laid down by Catteneo et al.

Conclusion: Ilizarov technique was found to be useful to progressively lengthen the extremity, achieve union without bone grafting and to correct deformities in infected non-union with or without bone gap.


Keywords

Ilizarov Ring Fixator, Non Union Tibia, Infection, Compression, Distraction.

Subject Discipline

Orthopaedics

Full Text:

References

Cattaneo R, Cattagni M, Johnson EE. The treatment of infected nonunions and segmental defects of the tibia by methods of llizaro. Clin Orthop 1992;280:143-152.

Green SA. Editiorial comment.Clin Orthop 1992;280:2-6.

Ilizarov GA. Tension stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989;238:249-81.

Moore and Dahl quoted by DiParquale D, M Ochsner, Kelly AM, Maloney DM. The llizarov method for complex fractures nonunion. The Journal of Trauma 1999;37(4):630631.

Ong CT, Choson DSK, Cabrera NP, Maffulli N. The treatment of open tibial fractures and of tibial nonunion with a novel external fixator. Injury Int J Care Injured 2002;33:829-834.

Lalit M, Chadha M, Vishwanath J, Kapoor S, Mehtani A, Dhaon BK. The llizarov method in infected nonunion of fractures. Injury Int J Care Injured 2000;31:509-517.

Honsy G, Shawky MS. The treatment of infected nonunion of the tibia by compression-distraction techniques using the llizarov external fixator. Internal Orthopaedics (SICOT) 1998;22:298-302.

Patel VR, Menon DK, Poot RD, Simonis RB. Nonunion of the humerus after failure of surgical treatment, management using the llizarov circular fixator. JBJS 2000;82B(7):97-983.

Dandrinos GK, Kontos G, Cyritsis E. Use of llizarov techniques for treatment of nonunion of tibia associated with infection. JBJS (Amer)1995;77(6):835-46.

Paley D, Maurizio A, Catagni. llizarov treatment of tibial nonunion with bone loss. Clin Orthop 1989;241:146-164.

Thirumal M, Shong HK. Bone transport in the management of fractures of the tibia. Med J Malaysia 2001;56(1):44-52.

Dooren D, Oschsner MG, Marie AK, Maloney DM. The Ilizarov method for complex fracture non unions. The Journal of trauma 1994;37(4):629-634.

Vladamir S, Sidney NM, Ronald AR, Roman S. Tibial Fractures- The llizarov Alternative 1992;278:207216.

Aldegheri R. Distraction osteogenesis for lengthening of the tibia in patients who have limblength discrepancy or short stature. JBJS 1999;81(A):624-634.

Tucker H, Kindra J, Todd E. Management of unstable open and closed tibial fractures by llizarov methods. Clin Orthop 1992;125:280.


Refbacks

  • There are currently no refbacks.