• Karim Bakhsh, Faridullah Khan Zimri, Atiq-Ur-RehmanDr. Atiq-Ur-Rehman, FCPS. Department of Orthopedics, Civil Hospital, Bolan Medical College, Quetta, Pakistan., Eid Mohammad, and Muhammad Saaiq.
• Dr. Karim Bakhsh, FCPS. Department of Orthopedics, Civil Hospital, Bolan Medical College, Quetta, Pakistan.
• Pak J Med Sci. 2019 Jul 1; 35 (4): 1055-1059.

ObjectiveTo evaluate the management outcome of complex non-union of femoral fractures with Ilizarov method in terms of bone union, functional results and any complications.MethodsThis case series study was carried out at the Departments of Orthopedic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad and Civil hospital, Quetta over a period of three and half years, January 1, 2015 to June 30,2018.ResultsThere were 50 patients in the study. There were 48(96%) males and 2(4%) females. The ages ranged between 17-54 years with a mean of 33.58±8.9 years. As per ASAMI criteria, the bone results were excellent in 17(34%), good in 30(60%), fair in 1(2%) and poor in 2(4%) patients. The functional results were excellent in 15(30%), good in 24(48%), fair in 8(16%) and poor in 3(6%). The bone union rate was 98% whereas infection eradication rate was 94%. The most frequent complications were pin tract infection affecting 80% patients, knee stiffness 60% patients and K-wires loosening 20% patients.ConclusionThe Ilizarov method provides an effective solution to address the complex non-union of femur fractures. It helps to ensure fracture healing, eradicates infection and provides good functional outcome. The attended complications are mild to moderate and manageable with conservative means.

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