Role of Ilizarov ring fixator – A three parameter test

Authors

  • Subodh Sharma Assistant Professor, Department of Orthopaedics, Nalanda Medical College &Hospital, Patna, Bihar, India
  • Amar Kumar Senior Resident, Department of Orthopaedics, Nalanda Medical College & Hospital, Patna, Bihar, India
  • S.K. Sinha Professor & HOD, Department of Orthopaedics, Nalanda Medical College & Hospital, Patna, Bihar, India

Keywords:

Ilizarov ring fixator, non union tibia, infection, compression, distraction.

Abstract

Background: The main surgical principle in the management of diaphyseal bone infection is thorough debridement of all nonviable tissue. None of the mentioned techniques afford surgeon the ability to correct deformities, eliminate antibiotic therapy, regenerate new bone without grafts and allow weight bearing during treatment as is possible with Ilizarov. Aim: The present study was conducted to evaluate the clinical follow-up results with Ilizarov technique using three parameters: union, infection and function and to know the complications if any faced by the patients.

Material and Methods: This was  a prospective  study planned to evaluate the results of Ilizarov -ring fixator on follow-up of 18 cases of either sex  with infected non-union tibia.  Average age  of presentation was 34.5 years. Follow-up  roentgenographs were used to assess alignment, bone contact and later callus formation. Healing status of the fracture was monitored using biplane roentgenographs, unchanged fracture alignment with loosening of the frame, absence of pain during ambulation with the frame destabilized. The data thus collected  wereanalysed by using percentage and valid conclusions were drawn.Result:Pain and swelling were the most common complication after application of ilizarov ring fixator. In this  studyof  18 cases, 11 (61.11%) patients had excellent, 2 (11.11%) good, 5 (27.77%) fair and none had poor results as per criterion laid down by Catteneoetal.Conclusion: Ilizarov technique was found to be useful to progressively lengthen the extremity, achieve union without bone grafting ,to correct deformities and control infection in infected non-union with or without bone gap.

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Published

2021-03-09

How to Cite

Sharma, S., Kumar, A., & Sinha, S. (2021). Role of Ilizarov ring fixator – A three parameter test. International Journal of Health and Clinical Research, 4(5), 26–29. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/1064