scholarly journals A retrospective study of ilizarov fixation in infected non-union tibia: 36 cases

2016 ◽  
Vol 2 (3) ◽  
pp. 70
Author(s):  
Rajesh Govindasamy ◽  
Ramkumar Gnanasundaram ◽  
Saravanan Kasirajan ◽  
Pajani Sengani ◽  
Jimmy J Meleppuram
Keyword(s):  
Functional Results ◽  
High Energy ◽  
Ilizarov Method ◽  
Non Union ◽  
Ring Fixator ◽  
Significant Challenge ◽  
Ilizarov Ring Fixator ◽  
Pin Tract Infection ◽  
Tract Infections ◽  
Ilizarov Fixation

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Infected non-union of tibia is most frequently met due to high energy trauma and it poses significant challenge to the treating orthopaedic surgeon. The aim of the study is to evaluate the clinical and functional results in treating infected non-union of tibia by Ilizarov method.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> 36 patients with infected non-union of tibia with bone loss; shortening and deformity treated were retrospectively analyzed in the institution during the period of May 2010 to May 2015 were included in the study. The results were evaluated according to association for the study and application of the methods of Ilizarov (ASAMI) criteria. The Pin tract infections were assessed by Moore and Dahl Grading.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>The bony results were excellent in 65% patients, good in 20%, fair in 15%, and poor in nil. The functional results were excellent in 50% patients, good in 25%, fair in 15%, and poor in 10%. The most common recorded complication was pin tract infection.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Ilizarov ring fixator still remains an excellent treatment modality for tibial non-union as it addresses to the problems associated with it.</p>

scholarly journals A Prospective Observational Study on Efficacy of Ilizarov External Fixation in Infected Non-Union Tibial Fractures

2021 ◽  
Vol 8 (15) ◽  
pp. 932-938
Author(s):  
Avinash Gundavarapu ◽  
Vishal Singh ◽  
Prashant Kumar Mishra ◽  
Santhosh Kumar M
Keyword(s):  
External Fixation ◽  
External Fixator ◽  
Functional Results ◽  
High Energy ◽  
Tibial Fractures ◽  
Bony Union ◽  
Ilizarov External Fixator ◽  
Non Union ◽  
Ring Fixator ◽  
Study Results

BACKGROUND Open fractures and fractures caused by high-energy trauma are likely to get infected and result in non-union. Infected non-union of long bones is a problem in developing countries like India. Ilizarov external fixator was employed to correct all the complications associated with non-union such as bone gap, infection, shortening, and deformities. Stable fixation, corticotomy and bone transport was employed to reduce or eliminate infection at the same time achieving bone union and correction of limb length discrepancy. Our study assesses the efficacy and safety of Ilizarov external fixation in patients with infected non-union tibial fractures. METHODS A series of 30 patients with infected non-union of tibia were treated with Ilizarov external fixation in Yashoda super speciality hospital and regularly followed-up between May 2014 and April 2016 (2 years). Bony and functional results were estimated and correlated with existing studies. RESULTS Out of thirty patients treated, bony results were excellent in 17 patients, good in 8 patients, fair in 4 patients and poor in 1 patient. Functional results were excellent in 17 patients, good in 5 patients, fair in 5 patients, and poor in 3 patients. Average duration of the fixator period was 8.1 months (min - 3 months, max - 14 months). Average length of regenerate was 3.64 cm (min - 2 cm, max - 6 cm). Average lengthening index in the study was 2.09 months / cm. Our study in all 4 categories of Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria had approached Dror Paley’s Bony results and functional results. CONCLUSIONS In our study results have been encouraging in addressing all the complex problems by Ilizarov principle. Ilizarov external fixator system is the best device to treat infected non-union of tibia. Distal third of tibia is more prone for infection and non-union. Corticotomy or bone grafting is required for augmentation of the healing process. Almost all patients had varying degrees of oedema and pin track infections. Infection was controlled in all the cases and bony union was achieved, no patient had persistence of non-union and infection at the end of 2 years. KEYWORDS Ilizarov External Ring Fixator, Infected Non-Union, ASAMI Criteria, Bony Results, Functional Results, Bony Union

scholarly journals Outcomes of Ilizarov Ring Fixator in Infected Nonunion of Tibia

2021 ◽  
pp. 724-730
Author(s):  
Muhammad Hamayun Hameed ◽  
Abdul Hamid Kakar ◽  
Hassan Amir Us Saqlain ◽  
Syed Sajid Hussain ◽  
Masood Ahmed Qureshi ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Functional Results ◽  
Bony Union ◽  
External Fixators ◽  
Infected Nonunion ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator ◽  
Ilizarov Fixator ◽  
Poor Outcomes ◽  
Tibial Mechanical Axis

Objective: This study was designed to evaluate the effectiveness of Ilizarov. We aimed to explore the infection rate, bony union, and functional outcomes of Ilizarov fixators. Methodology: This retrospective study was conducted in Orthopedic department of Bolan Medical Complex Hospital Quetta Pakistan from June 2020 to June 2021. In this timeframe total of fifty-five patients of infected nonunion tibia were enrolled for Ilizarov technique treatment. For surgical intervention, patients were placed in a supine position on a radiolucent table. Ilizarov fixator was prepared on the behalf of patient's limb length, infection site, and ankle and knee functional status. We applied assembled Ilizarov fixator at the tibial shaft while keeping in mind that the rings were positioned in on the proximal and distal fragments. The ring was placed parallel to the joints whereas pins were inserted perpendicular to the tibial mechanical axis. Results: A total of 55 patients were recruited for this study. The mean age of the selected participants was 45.65±16.69 years. The overall successful bone results of the ASAMI score were observed as 80% whereas 88% functional outcomes were achieved. In bone results, we observed 28 (50.9%) cases with excellent results, 16 (29%) with good, 7 (12.7%) with fair, and 3 (5.4%) with poor outcomes. On the other hand, 25 (45.4%) cases observed excellent functional results, 25 (45.4%) with good, 4 (7.6%) with fair, and 2 (3.6%) with poor outcomes. Conclusion: Our results show a high success ratio therefore we recommend Ilizarov external fixators for infected nonunion tibial fracture. This method helps to recover limbs without any amputations. However, the discomfort of patients is one of the main problems with this method of treatment.

scholarly journals Salvage of Infected Non-Union of the Tibia with An Ilizarov Ring Fixator

2015 ◽  
Vol 23 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Muhammad Shahid Khan ◽  
Haroon Rashid ◽  
Masood Umer ◽  
Irfan Qadir ◽  
Kamran Hafeez ◽  
...  
Keyword(s):  
Non Union ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

scholarly journals Use of Ilizarov ring Fixator in the Management of Non-Union of Long Bones

2017 ◽  
Vol 05 (02) ◽  
pp. 17265-17268
Author(s):  
Dr Kishore S ◽  
Keyword(s):  
Long Bones ◽  
Non Union ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

Role of Ilizarov Ring Fixator in Infected Non Union Tibia

2014 ◽  
Vol 3 (2) ◽  
pp. 451
Author(s):  
Aman Bansal ◽  
Shiveta Bansal ◽  
Ravinder Singh ◽  
J. P. S Walia ◽  
B. S. Brar
Keyword(s):  
Non Union ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

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

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Karim Bakhsh ◽  
Atiq-Ur- Rehman ◽  
Faridullah Khan Zimri ◽  
Eid Mohammad ◽  
Wazir Ahmed ◽  
...  
Keyword(s):  
External Fixation ◽  
Case Series ◽  
Functional Results ◽  
Rehabilitation Medicine ◽  
Bone Transport ◽  
Fixation Index ◽  
Ilizarov Method ◽  
Fixation Time ◽  
Ilizarov Technique ◽  
Non Union

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±9.98years. 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):---------. 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.

Closed arthrodesis in infected neuropathic ankles using Ilizarov ring fixation

2020 ◽  
Vol 102-B (4) ◽  
pp. 470-477 ◽  
Author(s):  
Yaser Alammar ◽  
Anatoliy Sudnitsyn ◽  
Andrey Neretin ◽  
Sergey Leonchuk ◽  
Nikolay Mikhailovich Kliushin
Keyword(s):  
Operating Time ◽  
Deformity Correction ◽  
Ankle Arthrodesis ◽  
Ilizarov Method ◽  
Foot And Ankle ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator ◽  
Group A ◽  
American Orthopaedic ◽  
Group B

Aims Infected and deformed neuropathic feet and ankles are serious challenges for surgical management. In this study we present our experience in performing ankle arthrodesis in a closed manner, without surgical preparation of the joint surfaces by cartilaginous debridement, but instead using an Ilizarov ring fixator (IRF) for deformity correction and facilitating fusion, in arthritic neuropathic ankles with associated osteomyelitis. Methods We retrospectively reviewed all the patients who underwent closed ankle arthrodesis (CAA) in Ilizarov Scientific Centre from 2013 to 2018 (Group A) and compared them with a similar group of patients (Group B) who underwent open ankle arthrodesis (OAA). We then divided the neuropathic patients into three arthritic subgroups: Charcot joint, Charcot-Maire-Tooth disease, and post-traumatic arthritis. All arthrodeses were performed by using an Ilizarov ring fixator. All patients were followed up clinically and radiologically for a minimum of 12 months to assess union and function. Results The union rate for Group A was 81% (17/21) while it was 84.6% (33/39) for Group B. All the nonunions in Group A underwent revision with an open technique and achieved 100% union. Mean duration of IRF was 71.5 days (59 to 82) in Group A and 69 days (64.8 to 77.7) in Group B. The American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was similar in both groups. The postoperative hospital stay was shorter in Group A (21 days (SD 8)) than Group B (28 days (SD 9)). In the latter Group there were more problems with wound healing and greater requirement for antibiotic treatment. The mean operating time was 40 minutes (SD 9) in Group A compared to 80 minutes (SD 13) in Group B. Recurrence of infection occurred in 19% (4/21) and 15.5% (6/39) for Group A and Group B respectively. Conclusion We found CAA using an IRF to be an effective method for ankle arthrodesis in infected neuropathic foot and ankle cases and afforded comparable results to open methods. Due to its great advantages, Ilizarov method of CAA should always be considered for neuropathic ankles in suitable patients. Cite this article: Bone Joint J 2020;102-B(4):470–477.

scholarly journals Managing Difficult Fractures due to Ballistic Trauma with Ilizarov Ring Fixation

1970 ◽  
Vol 9 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Pankaj Chand ◽  
Roshan Lal Shrestha ◽  
Bachu Ram KC ◽  
Bhanu Chand Shah ◽  
Amit Joshi ◽  
...  
Keyword(s):  
Bone Loss ◽  
Weight Bearing ◽  
Joint Stiffness ◽  
Valgus Deformity ◽  
Bone Transport ◽  
Healing Time ◽  
Early Weight Bearing ◽  
Non Union ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

20 fractures (7 femoral and 13 tibial) were treated with the illizarov apparatus between 2003 to 2006. Allwere old injuries, previously managed by internal fixation (intramedullary rods), external fixation (Hoffman'sexternal fixators), or conservatively with traction and plaster of paris slabs. Ilizarov fixators were appliedto manage infected non-union with or without bone loss and malunion. Corticotomy and bone transportwas carried out in cases with significant bone loss. In others without any limb shortening and minimalbony defect, bone grafting and compression was carried out. In one case valgus deformity along withnon-union was corrected. Early weight bearing with range of motion exercises for ankle and knee jointswere encouraged. Average fracture healing time was 12 months (8 to 18 months). All fractures healed with<5° of malalignment. Complications included pin site inflammation/ infection, muscle transfixation, kneeand ankle joint stiffness and a wire fracture. The ilizarov device provided definitive fixation with acceptableresults in all cases.Key words: Ilizarov ring fixator; distraction osteogenesis; bone transport; infective non-union;corticotomyDOI: 10.3126/mjsbh.v9i1.3482Medical Journal of Shree Birendra Hospital Vol.9(1) 2010 1-8

scholarly journals Illizarov’s technique outcome in non-union tibial fracture

2021 ◽  
Author(s):  
Anuranjan Dubey ◽  
Ashish Kumar Ragase
Keyword(s):  
Bone Fractures ◽  
Cross Sectional Study ◽  
The Body ◽  
Long Bone ◽  
Cross Sectional ◽  
Non Union ◽  
Ring Fixator ◽  
Medical College ◽  
Present Cross Sectional Study ◽  
Ilizarov Ring Fixator

<p class="abstract"><strong>Background:</strong> Tibia being a superficial bone of the body and vulnerable to trauma, often becomes fractured among all long bone fractures. Tibial surface is subcutaneous most of its length so open fractures are common.</p><p class="abstract"><strong>Methods: </strong>The present cross sectional study was conducted on 20 patients attending the outpatient department Of Orthopedics, Government Medical College and Hospital, Ambikapur, Sarguja (C.G) India between September 2020 to February 2021. Patients within the age group of 18-60 years, having fracture of any duration with gap non union and those having duration of fracture more than 36 weeks without bony gap were included in the study. Details of Patient’s characteristics concerning primary injury and treatment were recorded and evaluation of results were based on Paleys criteria.</p><p class="abstract"><strong>Results: </strong>In bone/radiological results, seven were classed as excellent, eleven as good with the remainder of 2 being fair and poor each. Functionally nine were graded as excellent, nine as good and two as fair and poor each.</p><p class="abstract"><strong>Conclusions:</strong> It was found that Ilizarov ring fixator is an excellent treatment modality for tibial non-union with infection. However the technique requires long treatment follow up. Multiple interventions may be necessary to overcome the difficulties which come across the treatment.</p>

scholarly journals Outcome of complex non-unions of femoral fractures managed with Ilizarov method of distraction osteogenesis

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Karim Bakhsh ◽  
Faridullah Khan Zimri ◽  
Atiq -Ur- Rehman ◽  
Eid Mohammad ◽  
Muhammad Saaiq
Keyword(s):  
Distraction Osteogenesis ◽  
Case Series ◽  
Femoral Fractures ◽  
Functional Results ◽  
Rehabilitation Medicine ◽  
Bone Union ◽  
Ilizarov Method ◽  
Non Union ◽  
Femur Fractures ◽  
Case Series Study

Objective: To evaluate the management outcome of complex non-union of femoral fractures with Ilizarov method in terms of bone union, functional results and any complications. Methods: This case series study was carried out at the Departments of Orthopedic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad and Civil hospital, Quetta over a period of three and half years, January 1, 2015 to June 30,2018. Results: There were 50 patients in the study. There were 48(96%) males and 2(4%) females. The ages ranged between 17-54 years with a mean of 33.58±8.9 years. As per ASAMI criteria, the bone results were excellent in 17(34%), good in 30(60%), fair in 1(2%) and poor in 2(4%) patients. The functional results were excellent in 15(30%), good in 24(48%), fair in 8(16%) and poor in 3(6%). The bone union rate was 98% whereas infection eradication rate was 94%. The most frequent complications were pin tract infection affecting 80% patients, knee stiffness 60% patients and K-wires loosening 20% patients. Conclusion: The Ilizarov method provides an effective solution to address the complex non-union of femur fractures. It helps to ensure fracture healing, eradicates infection and provides good functional outcome. The attended complications are mild to moderate and manageable with conservative means. doi: https://doi.org/10.12669/pjms.35.4.244 How to cite this:Bakhsh K, Zimri FK, Atiq-Ur-Rehman, Mohammad E, Saaiq M. Outcome of complex non-unions of femoral fractures managed with Ilizarov method of distraction osteogenesis. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.244 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.

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