scholarly journals EVIDENCE BASED ANALYSIS OF BONE TRANSPORTATION FOR INFECTED NON - UNION OF TIBIA BY ILIZAROV METHOD

2015 ◽  
Vol 2 (9) ◽  
pp. 1125-1135
Author(s):  
Appala Raju S ◽  
Rajasekhara Rao G ◽  
Vijaya B hushanam M ◽  
Venkateswara Rao M ◽  
Lakshmi Narayana G V S ◽  
...  
2018 ◽  
Vol 42 (12) ◽  
pp. 2933-2939 ◽  
Author(s):  
Gamal Ahmed Hosny ◽  
Abdel-Salam Abdel-Aleem Ahmed ◽  
Mohamed Abd-Elaal Hussein

2013 ◽  
Vol 2 (2) ◽  
Author(s):  
Mohammad Shahid ◽  
Abid Hussain ◽  
Phillipa Bridgeman ◽  
Deepa Bose

Injury Extra ◽  
2005 ◽  
Vol 36 (8) ◽  
pp. 346-348 ◽  
Author(s):  
K.M. Venu ◽  
J. Forder ◽  
R. Bommireddy ◽  
A.D. Skyrme ◽  
J.C. Compson ◽  
...  

2020 ◽  
Vol 6 (3) ◽  
pp. 63-72
Author(s):  
Max Mifsud ◽  
Jamie Y. Ferguson ◽  
David A. Stubbs ◽  
Alex J. Ramsden ◽  
Martin A. McNally

Abstract. Chronic bone infections often present with complex bone and soft tissue loss. Management is difficult and commonly delivered in multiple stages over many months. This study investigated the feasibility and clinical outcomes of reconstruction in one stage. Fifty-seven consecutive patients with chronic osteomyelitis (n=27) or infected non-union (n=30) were treated with simultaneous debridement, Ilizarov method and free muscle flap transfer. 41 patients (71.9 %) had systemic co-morbidities (Cierny-Mader group Bs hosts). Infection was confirmed with strict criteria. 48 patients (84.2 %) had segmental defects. The primary outcome was eradication of infection at final follow-up. Secondary outcomes included bone union, flap survival and complications or re-operation related to the reconstruction. Infection was eradicated in 55∕57 cases (96.5 %) at a mean follow-up of 36 months (range 12–146). No flap failures occurred during distraction but 6 required early anastomotic revision and 3 were not salvageable (flap failure rate 5.3 %). Bony union was achieved in 52∕57 (91.2 %) with the initial surgery alone. After treatment of the five un-united docking sites, all cases achieved bony union at final follow-up. Simultaneous reconstruction with Ilizarov method and free tissue transfer is safe but requires careful planning and logistic considerations. The outcomes from this study are equivalent or better than those reported after staged surgery.


Author(s):  
Rajesh Govindasamy ◽  
Ramkumar Gnanasundaram ◽  
Saravanan Kasirajan ◽  
Pajani Sengani ◽  
Jimmy J Meleppuram

<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>


2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Karim Bakhsh ◽  
Atiq-Ur- Rehman ◽  
Faridullah Khan Zimri ◽  
Eid Mohammad ◽  
Wazir Ahmed ◽  
...  

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.


2016 ◽  
Vol 69 (suppl. 1) ◽  
pp. 23-33
Author(s):  
Ivica Lalic ◽  
Vladimir Harhaji ◽  
Vaso Kecojevic ◽  
Srdjan Ninkovic ◽  
Oliver Dulic ◽  
...  

Introduction. For multiply traumatized or polytraumatized patients, the preservation of normal limb function with minimal complication is the highest priority. The supreme principle of the Ilizarov techique is to achieve limb stability with equality, without deformities, with sufficient muscle function and full range of joint movement with minimal risk of infection. It is also of great importance to decrease the length of immobility with the least possible number of surgical procedures. Material and Methods. We present a retrospective and partially prospective study with the analysis of the Ilizarov apparatus application for managing acute traumatic fractures, bone fracture complications and other orthopedic conditions eligible for treatment with this technique. This study covers our experiences and results gained in the period from 2003 to 2016. The analysis included a broad spectrum of orthopedic and traumatology conditions such as acute fractures, non-union fractures, malunion fractures, pseudoarthrosis, congenital and acquired bone deformities and the final treatment after total knee joint replacement failures. Results. After a long follow-up time, the long-term results were assessed by estimating the results of clinical examinations, X-ray evaluations, Association for the Study and Application of the Method of Ilizarov bone and functional scoring system and Karlstrom and Olerud functional scoring system evaluations. Conclusion. The introduction of the Ilizarov method at our Department 13 years ago has justified its application in everyday clinical practice by achieving excellent results in the treatment of the most complicated orthopedic and trauma conditions.


2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Karim Bakhsh ◽  
Faridullah Khan Zimri ◽  
Atiq -Ur- Rehman ◽  
Eid Mohammad ◽  
Muhammad Saaiq

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.


1992 ◽  
Vol 41 (1) ◽  
pp. 237-241
Author(s):  
Toshiaki Niimi ◽  
Ryohei Suzuki ◽  
Tokumi Nagaoka ◽  
Kenji Miyahara ◽  
Yukimasa Nishimura ◽  
...  
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