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Infected Non-union of Tibia Treated with Ilizarov External Fixator: Our Experience
S Fahad1, A A Habib1, M B Awais1
1Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan.
Malaysian Orthopaedic Journal
|April 20, 2019
Summary
The Ilizarov external fixator effectively treats infected tibial non-union, promoting bone healing and good functional outcomes. This method is recommended for complex tibia fractures with infection.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
Background:
- Tibia fractures are common and prone to infection, leading to delayed union or non-union.
- The Ilizarov external fixator offers advantages in managing complex tibial non-unions.
Purpose of the Study:
- To evaluate the efficacy of the Ilizarov fixator in treating infected tibial non-union.
- To assess bone union rates and functional outcomes in patients treated with the Ilizarov fixator.
Main Methods:
- Retrospective review of 51 patients with infected tibial non-union treated with Ilizarov fixator (2005-2016).
- Analysis of bone union, functional outcomes, and complications.
Main Results:
- Staphylococcus Aureus was the most common infecting organism.
- Achieved union in 49 out of 51 patients; one amputation due to non-union and sepsis.
- Most patients received excellent ASAMI scores for bone and functional results.
- Pin track infections were the most frequent complication.
Conclusions:
- Ilizarov external fixator provides a stable environment for bone transport, deformity correction, and weight-bearing in infected tibial non-union.
- Recommended for treating infected tibial non-union due to its favorable outcomes.
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