scholarly journals Management of infected non-union of lower limb long bone fractures using ilizarov technique: a study of outcomes

2017 ◽  
Vol 3 (3) ◽  
pp. 557 ◽  
Author(s):  
Hrishikesh Pande ◽  
Chander Mohan Singh ◽  
Anjan Prabhakara ◽  
Vivek Mathew Philip ◽  
Mohd Shezan Iqbal ◽  
...  
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Lower Limbs ◽  
Long Bone ◽  
Long Bones ◽  
Ilizarov Technique ◽  
Infected Nonunion ◽  
Ring Fixator ◽  
Long Bone Fractures ◽  
Ilizarov Ring Fixator

<p class="abstract"><strong>Background:</strong> Nonunion of long bone fractures is a common condition treated by an orthopaedic surgeon. Many nonunions can be treated effectively by internal fixation with or without bone grafting but, an infected nonunion can prove to be a tough challenge. The Ilizarov method is effective in managing infected nonunion of long bones. This study aims to assess the outcome of management of infected nonunions of long bones of lower limb with Ilizarov Ring fixator using bone and functional results as per Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 18 patients (16 Male: 2 Female; Mean age 43.2 years) managed with Ilizarov technique for an infected tibial or femoral nonunion between 01 January 2013 and 31 December 2014. They were followed up for an average of 25.4 months after removal of fixator. They were assessed for functional and Bone (radiological) outcomes using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 17 limbs were salvaged and union could be achieved. One limb required amputation due to severe persistent intractable infection. None required any additional skeletal stabilisation after removal of fixator frame except casting in a few patients for a period of 6 weeks. Mean time to union was 211.83 days (range 136 - 320days/median 184) or 7.01 months. As per the ASAMI score, Bone results were excellent in 10, good in 5, fair in 2 and poor in 1. Functionally 7 were graded as excellent, 6 as good, 3 as fair and 1 as poor and 1 patient underwent amputation.</p><p><strong>Conclusions:</strong> The Ilizarov’s method remains one of the most versatile and successful means of achieving bone healing in infected nonunions of long bones of lower limbs with additional benefits of correcting bone defects, deformities and limb length inequalities. </p>

Prevention of posttraumatic hypoxaemia in isolated lower limb long bone fractures with a minimal prophylactic dose of corticosteroids

Injury ◽  
2004 ◽  
Vol 35 (3) ◽  
pp. 309-317 ◽  
Author(s):  
George A Babalis ◽  
Christos K Yiannakopoulos ◽  
Konstantinos Karliaftis ◽  
Emmanuel Antonogiannakis
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Long Bone ◽  
Prophylactic Dose ◽  
Long Bone Fractures

Percutaneous plating of lower limb long bone fractures

Injury ◽  
2006 ◽  
Vol 37 (6) ◽  
pp. 543-553 ◽  
Author(s):  
Eve W.Y. Wong ◽  
Edison W.K. Lee
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures

scholarly journals Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)

2017 ◽  
Vol 3 (4g) ◽  
pp. 501-504
Author(s):  
Dr. Kamal Kumar Arora ◽  
Dr. Simranjit Singh ◽  
Dr. Priti Chaudhary ◽  
Dr. Rajesh Kapila ◽  
Dr. Rajan Sharma ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Lower Limb ◽  
Bone Fractures ◽  
Elastic Stable Intramedullary Nailing ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Surgical Fixation

scholarly journals Study of incidence and cause of delay for treatment of long bone fractures of the lower limb in tertiary care hospital

2019 ◽  
Vol 6 (9) ◽  
pp. 3170
Author(s):  
Elizabeth C. Sada ◽  
Firdaus Bhot ◽  
Rohit Kanishetty
Keyword(s):  
Lower Limb ◽  
Tertiary Care Hospital ◽  
Bone Fractures ◽  
Tertiary Care ◽  
Final Outcome ◽  
Long Bone ◽  
Care Hospital ◽  
Medical Reason ◽  
Delayed Surgery ◽  
Long Bone Fractures

Background: Musculoskeletal trauma represents a considerable global health burden. Lower limb long bone fractures are seen as a serious concern at the individual and population level. So the purpose of the study was to find incidence and cause of delay for treatment of long bone fractures of the lower limb in tertiary care hospital.Methods: All adult patients (more than 18 years) reporting to Emergency Medicine Department of a tertiary care hospital with long bone fractures of lower limb were included in the study. Effects on the final outcome on the lifestyle of the patients were evaluated against the interventions and management at all stages of the course of the illness. Delay of surgery: in our study delay of surgery means if surgery occurs after one day (24 hours) of admission. The entire data is statistically analysed using SPSS software. P values less than 0.05 are considered to be statistically significant.Results: 74 operated cases. 60 cases (81.10%) had delayed surgery, 14 cases (18.9.0%) did not have delayed surgery. 33 cases (55%) had medical reason for delay, 19 cases (31.7%) had financial reason for delay, 5 cases (14.3%) had infrastructure issues (unit system/non availability of implant), 3 cases (5.0%) had plan of surgery as causes of delay.Conclusions: These factors have an effect in the final outcome of the cases. The final outcome is dependent on multiple factors. Adequate attention to each and every one of them was long way to get the patient to the pre-incident stage. 

scholarly journals Comparison of Outcome of Bone Autograft and Allograft in Union of Long Bone Fractures

2021 ◽  
Vol 48 (2) ◽  
pp. 13-18
Author(s):  
H. Valiyollahpoor-Amiri ◽  
S. M. Esmaeilnejad-Ganji ◽  
R. Jokar ◽  
B. Baghianimoghadam ◽  
S. Kamali-Ahangar ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Bone Fractures ◽  
Bone Allograft ◽  
Fracture Site ◽  
Lower Limbs ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Surgical Methods ◽  
Long Bone Fracture ◽  
Bone Autograft

Abstract Background and Purpose There are few studies addressing the rate of application of bone allograft and its use; hence, the present study aimed to compare the clinical outcomes of using bone allograft and autograft in patients with long bone fracture. Method In this clinical trial study, all patients who underwent bone graft surgery with the diagnosed long bone fractures of upper and lower limbs at Shahid Beheshti Hospital were included in the research. Patients were divided into two groups, autograft and allograft, according to type of treatment. They were evaluated for their union, complications, and range of motion. Results In the present study, 124 people were studied. Among them, 100 patients were eligible and included in the study. The allograft and autograft groups did not have any statistical significant differences in terms of age, sex, location, causes of fracture, and surgical methods. Results of the present research on patients in terms of fracture site indicated that there was no significant relationship between the two groups in rate of union (P = 0.18). Allograft and autograft had no difference in terms of complications. Studied range of motion indicated that patients were not different in terms of their ranges of motion. Conclusion Based on findings of the present study, allograft could be a suitable substitute for the autograft. The two graft methods were similar in terms of complications, union, and ranges of motion.

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