• Pak J Med Sci · Jan 2019

    Presentation and management outcome of tibial infected non-union with Ilizarov technique.

    • Karim Bakhsh, Atiq-Ur-RehmanDr. Atiq-Ur-Rehman FCPS, Department of Orthopedics, Civil Hospital, Bolan Medical College, Quetta, Pakistan., Faridullah Khan Zimri, Eid Mohammad, Wazir Ahmed, and Muhammad Saaiq.
    • Dr. Karim Bakhsh FCPS, Department of Orthopedics, Civil Hospital, Bolan Medical College, Quetta, Pakistan.
    • Pak J Med Sci. 2019 Jan 1; 35 (1): 136-140.

    ObjectiveTo document the presentation of tibial infected non-union and analyze the management outcome with Ilizarov technique in terms of bone results, functional outcome, bone transport time, external fixation time, external fixation index and any complications.MethodsThis case series was conducted at the Departments of Orthopedic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad and Civil hospital, Quetta over a period of 3-years.ResultsThere were 56 patients with 53(94.64%) males and 3(5.35%) females. The age range was 16-50 years with a mean of 32.58±9.98years. According to ASAMI criteria, bone results were excellent in 37(66%), good in 10(17.85%), fair in 6(10.71%) and poor in 3(5.35%). The functional results were excellent in 37(66%), good in 9(16%), fair in 7(12.5%) and poor in 3(5.35%). The bone union rate was 98.21%.ConclusionIlizarov method beautifully addresses the formidable issue of infected non union of tibia with good outcome in terms of bone healing and infection eradication. The treatment period is relatively lengthy and hence patience on part of patient as well as the surgical team is imperative for achieving favourable outcomes.

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