Case Report Treatment of Infected Gap Non-union using Bone Transport with Ilizarov External Fixator – A Case Report

Treatment of Infected Gap Non-union using Bone Transport with Ilizarov External Fixator – A Case Report

Authors

  • Shakerul Kareem Razzaki Sparsh Multispeciality Hospital, Parbhani, Maharashtra, India
  • Raosaheb B. Magar Department of Orthopaedics, Sparsh Multispeciality Hospital, Parbhani, Maharashtra, India
  • Pravin Patil Department of Orthopedics,Sparsh Multispeciality Hospital, Parbhani, Maharashtra, India

Keywords:

Infected Nonunion, Ilizarov, Corticotomy, Bone Transport

Abstract

Ilizarov external fixture is a better treatment model for infected gap non-union both infection as well as gap can be treated
simultaneously we present a case of such infected tibia with large sequestrum leading to 9 cm gap which was treated with Ilizarov
external fixator and proximal tibial corticotomy and gap non-union as well as infection both are addressed simultaneously.

Author Biographies

Raosaheb B. Magar, Department of Orthopaedics, Sparsh Multispeciality Hospital, Parbhani, Maharashtra, India

 

 

Pravin Patil, Department of Orthopedics,Sparsh Multispeciality Hospital, Parbhani, Maharashtra, India

 

 

References

Sen C, Kocaoglu M, Eralp L, Gulsen M, Cinar M. Bifocal

compression-distraction in the acute treatment of Grade III

open tibia fractures with and soft tissue loss: A report of

cases. J Orthop Trauma 2004;18:150-7.

Iacobellis C, Berizi A, Aldegheri R. Bone transport using the

Ilizarov method: A review of complications in 100 consecutive

cases. Strategies Trauma Limb Reconstr 2010;5:17-22.

Mahaluxmivala J, Nadarajah R, Allen PW, Hill RA. Ilizarov

external fixator: Acute shortening and lengthening versus

bone transport in the management of tibial non-unions. Injury

;36:662-8.

Song HR, Cho SH, Koo KH, Jeong ST, Park YJ, Ko JH.

Tibial bone defects treated by internal bone transport using the

Ilizarov method. Int Orthop 1998;22:293-7.

Paley D, Catagni MA, Argani F, Villa A, Benedetti GB,

Cattaneo R. Ilizarov treatment of tibial nonunions with bone

loss. Clin Orthop Relat Res 1989;241:146-65.

Dagher F, Roukoz S. Compound tibial fractures with bone

loss treated by the Ilizarov technique. J Bone Joint Surg Br

;73:316-21.

Ilizarov GA. Principes fondamentaux de l’ostéosynthèse

en compression-distraction. Orthop Traumatol Protez

;32:7-15.

Cattaneo R, Villa A, Catagni M, Tentori L. Treatment of septic

or non-septic pseudarthroses according to the Ilizarov method

in monofocal compression. Rev Chir Orthop 1985;71:223-39.

Merloz P, Tourné Y, Dayez J, Plawecki S, Soued I, Faure

C, et al. Interest of the Ilizarov method in the treatment of

pseudarthroses of the long bones. J Chir 1990;127:199-208.

Catagni M. Classification and treatment of non-union. In:

Bianchi-Maiocchi A, Aronson J, editors. Operative Principles

of Ilizarov. Milan: Medical Surgical Video; 1991. p. 19-8.

Madhusudhan TR, Ramesh B, Manjunah KS, Shah HM,

Sundaresh DC, Krishnappa N. Outcomes of Ilisarov ring

fixation in récalcitrant infected tibial nonunions: A prospective

study. J Trauma Manage Outcomes 2008;2:6.

Garcia-Cimbrelo E, Marti-Gonzalez JC. Circular external

fixation in tibial non-unions. Clin Orthop 2004;419:65-70.

Hosny G, Shawky MS. The treatment of infected non-union

of the tibia by compression-distraction techniques using the

Ilizarov external fixator. Int Orthop (SICOT) 1998;22:298-302.

El-Alfy B, El-Mowafi H, El-Moghazy N. Distraction

osteogenesis in management of composite bone and soft tissue

defects. Int Orthop (SICOT) 2010;34:115-8.

Usel AP, Lemonne F, Casoli V. Tibial segmental bone defect

reconstruction by Ilizarov type bone transport in an induced

membrane. Orthop Traumatol Surg Res 2010;96:194-8.

Kulkarni GS, Sohail MT. Aggressive Treatment of Chronic

Osteomyelitis. Orthopaedics and Trauma. 2nd ed., Vol. 2.

Noida: Jaypee Group; 2008. p. 1782-4.

Published

10-01-2023

How to Cite

Razzaki, S. K., B. Magar, R., & Patil, P. (2023). Case Report Treatment of Infected Gap Non-union using Bone Transport with Ilizarov External Fixator – A Case Report: Treatment of Infected Gap Non-union using Bone Transport with Ilizarov External Fixator – A Case Report. Journal of Bones &Amp; Muscles Health, 1(2), 75–8. Retrieved from https://portal.jbmh.in/index.php/ins/article/view/32