Abstract

ILIZAROV COMPRESSION OSTEOGENESIS FOR TIBIAL NON-UNION: OUR EXPERIENCE

Author(s): Kollam Chandra Sekhar1, B. Valya2, Y. Surender Rao3

The objective was to evaluate functional outcome and complication of Ilizarov compression osteogenesis done for non-unions and infected non-unions. This study is chosen as non-union and infected non-union tibia is common and difficult to treat.
METHODS
This study of Ilizarov for non-union tibia was done between 1999 – 2014 at Gandhi Medical College and Hospital, Hyderabad; following Grade IIIa and IIIb open tibial fractures, with or without soft tissue loss. The study group consisted 43 patients between 20 to 70 yrs.
RESULTS
Out of 43 cases in study group, atrophic non-union accounted for two thirds of cases, infected non-union one third of cases. Union rate is 97%.
CONCLUSION
Non-union tibia is common in young males due to road traffic accidents. It is always a challenge for an orthopaedic surgeon to treat this subcutaneous bone. Ilizarov osteogenesis is a better method in these cases as they are compounded by deformity, bone loss, infection and soft tissue atrophy and we can control many variables as and when required during the followup period without much damage to soft tissue.