Volume 1, 2015
|Number of page(s)||6|
|Published online||29 July 2015|
Ilizarov ring fixator in the management of infected non-unions of tibia
MS (Orthopaedics), Registrar department of orthopaedics, Government Medical College, Srinagar, J&K, India
2 PG scholar department of orthopaedics, Government Medical College, Srinagar, J&K, India
* Corresponding author: firstname.lastname@example.org
Accepted: 20 June 2015
Purpose: The purpose of the study was to evaluate the effectiveness of debridement and application of Ilizarov ring fixator (IRF) in the management of infected tibial non-unions.
Patients and methods: Twenty six patients with infected non-unions of tibia were managed by debridement and resection of infected portion ± partial fibulectomy and stabilization by Ilizarov ring fixator. Bone segment transport was done in 18 patients who had greater than 2.5 cm bone defect after debridement. Bone grafting was required in three patients to augment union.
Results: All fractures united and infection eradicated completely. There were 13 excellent, nine good, and four fair results. Functional results were excellent in nine, good in 11, fair in five and poor in one. Pin site inflammation was the most common problem and occurred in 23 (88%) patients. There were no major complications or neurovascular complications.
Conclusion: We conclude that debridement combined with Ilizarov ring fixator with or without partial fibulectomy is a reliable method of treatment of infected non-unions of tibia.
Key words: Ilizarov / Infected / Non-unions / Tibia
© The Authors, published by EDP Sciences, 2015
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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