Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases

ABSTRACT OBJECTIVE: The aim of the study is to evaluate the clinical and functional outcome in treatment of infected tibial nonunion by the Ilizarov method. METHODS: The authors retrospectively analyzed 42 patients with infected tibial nonunion with bone loss; shortening and deformity treated at...

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Main Authors: Jimmy Joseph Meleppuram, Syed Ibrahim
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000600670&lng=en&tlng=en
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author Jimmy Joseph Meleppuram
Syed Ibrahim
author_facet Jimmy Joseph Meleppuram
Syed Ibrahim
author_sort Jimmy Joseph Meleppuram
collection DOAJ
description ABSTRACT OBJECTIVE: The aim of the study is to evaluate the clinical and functional outcome in treatment of infected tibial nonunion by the Ilizarov method. METHODS: The authors retrospectively analyzed 42 patients with infected tibial nonunion with bone loss; shortening and deformity treated at this institution during the period of February 2012 to April 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. Pin tract infections were assessed by Moore and Dahl score. RESULTS: Bone results were excellent in 60% of patients (n = 25), good in 15% (n = 6), fair in 25% (n = 11), and poor in none. The functional results were excellent in 55% of patients, good in 30%, fair in 5%, and poor in 10%. The most common complication found in this study was pin tract infection. CONCLUSION: Ilizarov ring fixator still remains an excellent treatment modality for tibial nonunion, as it addresses the problems associated with the condition, although the procedure is cumbersome.
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spelling doaj.art-367733fb31a041909fb15ca34b1f465b2024-02-02T14:23:13ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437852667067510.1016/j.rboe.2016.11.008S0102-36162017000600670Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 casesJimmy Joseph MeleppuramSyed IbrahimABSTRACT OBJECTIVE: The aim of the study is to evaluate the clinical and functional outcome in treatment of infected tibial nonunion by the Ilizarov method. METHODS: The authors retrospectively analyzed 42 patients with infected tibial nonunion with bone loss; shortening and deformity treated at this institution during the period of February 2012 to April 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. Pin tract infections were assessed by Moore and Dahl score. RESULTS: Bone results were excellent in 60% of patients (n = 25), good in 15% (n = 6), fair in 25% (n = 11), and poor in none. The functional results were excellent in 55% of patients, good in 30%, fair in 5%, and poor in 10%. The most common complication found in this study was pin tract infection. CONCLUSION: Ilizarov ring fixator still remains an excellent treatment modality for tibial nonunion, as it addresses the problems associated with the condition, although the procedure is cumbersome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000600670&lng=en&tlng=enTibiaIlizarov techniqueInfectionExternal fixators
spellingShingle Jimmy Joseph Meleppuram
Syed Ibrahim
Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
Revista Brasileira de Ortopedia
Tibia
Ilizarov technique
Infection
External fixators
title Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
title_full Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
title_fullStr Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
title_full_unstemmed Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
title_short Experience in fixation of infected non-union tibia by Ilizarov technique - a retrospective study of 42 cases
title_sort experience in fixation of infected non union tibia by ilizarov technique a retrospective study of 42 cases
topic Tibia
Ilizarov technique
Infection
External fixators
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000600670&lng=en&tlng=en
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