Evaluation on the Outcome of Management of Infected Non Union and Gap Non Union Fracture of Long Bones by Ilizarov Method

Balasubramaniyan, P (2017) Evaluation on the Outcome of Management of Infected Non Union and Gap Non Union Fracture of Long Bones by Ilizarov Method. Masters thesis, Stanley Medical College, Chennai.

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Abstract

INTRODUCTION: Management of infected non-union and gap non-union fracture of long bones is a great challenge to orthopaedic surgeons. Infected non-union of fractures is not a single problem and it is associated with multiple problems like infections, bone defects, limb length discrepancies, deformities and soft tissue problems like scaring, discharging sinuses, etc. Duration of treatment and cost creates a huge burden to the patient as well as treating institution. Ilizarov address all the problems simultaneously. Distraction osteogenesis following corticotomy helps in filling the bone defects, eradicating the infection and promote fracture healing. MATERIALS AND METHODS: This Prospective study was conducted at The department of Orthopaedics, Stanley medical college, Chennai, Tamil Nadu during the period August 2015 to July 2016. In our study includes 20 cases with 18 males and 2 females admitted with infected non-union fracture of long bones, gap non-union fracture of long bones due to various causes was treated by Ilizarov ring fixation method and were studied for the functional outcome, complications and fracture union. The results were evaluated using the criteria laid down by The Association for The Study and Application of the Methods of Ilizarov (ASAMI) Scoring system. RESULTS: Bone healing was excellent in 75% of cases, good in 20%, fair in 5% and none of cases have poor results. Functional results were excellent in 40% and good in 55% , fair in 5% of cases and none of cases show poor results. Limb length discrepancies and joint stiffness are the common complications. CONCLUSIONS: The goal in treatment of infected non-union and gap non-union is to have a well aligned, painless, healed and functional limb. Ilizarov ring fixation is the better option in treatment of infected non-union and gap non-union. Considering the complexity of problems , it is the treatment of choice as it address the problems associated with infected non-union and gap non-union of fracture. Sound patient selection with realistic treatment goals is the key for successful management.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Infected non-union, Ilizarov ring fixation, distraction osteogenesis, corticotomy.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 07:07
Last Modified: 19 Mar 2020 07:07
URI: http://repository-tnmgrmu.ac.in/id/eprint/12349

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