Author(s): M. Nageshwara Rao1, A. M. Ilias Basha2, K. B. Vijaya Mohan Reddy3, G. Praneeth Kumar Reddy4
Infected non-union of tibia per se is a challenge to treat. Subcutaneous bone causes susceptibility to compartment syndrome, non-responsive infection, non-union, fibrosis, sinuses, deformities, shortening and various other sets of problems which are associated with it. Ilizarov External fixation provides correction of all the complications associated with non-union, bone gap, infection, shortening, and deformities. Objective of this study is to assess the efficacy and safety of Ilizarov fixator method of treatment in infected non-union tibia and to study various complications associated with Ilizarov external fixation. MATERIALS AND METHODS: 23 patients admitted and treated in Government General Hospital under the Department of Orthopaedics during the period of May 2010 to December 2012 were included in the study. Results were evaluated according to ASAMI criteria.1 RESULTS: 59% patients had excellent bony results, 27.3% had good bony results, 9.1% had fair bony results, 4.6% had poor bony results. 68.1% had excellent functional results, 9.1% had good functional results, 9.1% had fair functional results, 13.7% had poor functional results. CONCLUSION: Ilizarov external fixator system is the best device and best solution for infected non-union tibia management.