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

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>

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 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>

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 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>

The treatment of non-union and pseudarthrosis of the long bones with thick nails

Injury ◽  
1979 ◽  
Vol 10 (2) ◽  
pp. 92-98 ◽  
Author(s):  
V.P. Okhotsky ◽  
A.G. Souvalyan
Keyword(s):  
Long Bones ◽  
Non Union

519 Outcomes of Management with Ilizarov Frames in Bone Infection: An Observational Study

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C Marshall ◽  
J Butler
Keyword(s):  
Anaerobic Bacteria ◽  
Clinical Effectiveness ◽  
Bone Infection ◽  
Ring Fixator ◽  
Increased Risk ◽  
Bone Void Filler ◽  
Ilizarov Ring Fixator ◽  
Cost Effect ◽  
Biocomposite Material ◽  
Bone Void

Abstract Aim The successful treatment and eradication of bone infection requires a multifaceted approach and may recur even after excision if resultant bone void is not managed effectively. This paper aims to review the clinical effectiveness of antibiotic-impregnated bone void filler and current empirical antibiotic guidelines. Method We report a retrospective study of 18 patients with chronic osteomyelitis following injury or surgery managed via Ilizarov Ring Fixator (IRF). All patients were managed by IRF stabilisation procedures with debridement, microbiological sampling, and bone void filling with antibiotic-impregnated biocomposite material, in addition to culture-specific systemic antimicrobial therapy. Results Patients were followed up for a mean of 15.9 months. Infection was eradicated in 94.1% of patients in a grossly comorbid demographic. Comorbidities associated with increased risk of osteomyelitis were noted in 72.2% of patients. Anaerobic bacteria were identified in culture for four (22.2%) of the 18 patients. Conclusions We detected a higher than suspected growth of anaerobes in our samples, suggesting the need for metronidazole in empirical antibiotic treatment. This study would suggest that the use of STIMULAN® may be preferable in this National Health Service from a cost-effect perspective, as our results are comparable to those using other bone void fillers.

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