Evaluation of Results of CTEV Correction By Serial Casting of Ponisetty Technique
Journal Title: Journal of Orthopaedic Education - Year 2019, Vol 5, Issue 2
Abstract
Background: Multiple treatment modalities have been reported for managing such cases like bone grafting, tissue transfers, antibiotic cement and Ilizarov technique. Bone grafting itself poses limitations of size and morbidity of the donor site. The aim of the present study was to determine the accuracy of Ilizarov technique in managing non-united infected tibial fractures. Materials and Methods: The present prospective study was conducted in the Department of Orthopaedics, Mata Gujri Memorial Medical College, Kishanganj, Bihar (India) for duration of 2 years. All the subjects were followed up for a period of 10 months. Under complete aseptic conditions, all the subjects were taken up for surgery. Debridement of the area was done, and the material was sent for sensitivity tests. Bone nibbling was performed until fresh bleeding was encountered. At regular intervals, X-rays were taken to determine the radiological extent of bone healing. Assessment was done based on Fernandez Esteve grading. In case of any discharge from the tract, infected pin was removed and exchanged in the same sitting. Once healing was satisfactory, ring and fixator were removed, and cast was applied. Results: The mean age of the subjects was 38.87 ± 3.22 years. There were 13 males (59.1%) and 9 females (40.9%) in the study. There were 3 males and 2 females with bone shortening of 1–3 cm. The union time amongst them was 6 weeks and the consolidation time was 9–10 months. Conclusion: Treatment using Ilizarov method with infected tibial fractures provides promising results. Optimal fixation was seen amongst subjects in the present study.
Authors and Affiliations
Chokkarapu Ramu
Keywords
Related Articles
- EP ID EP647052
- DOI 10.21088/joe.2454.7956.5219.1
- Views 110
- Downloads 0
Tibiotalocalcaneal Arthrodesis Using a Supracondylar Femoral Nail for Avascular Necrosis of the Talus
Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail for advanced tuberculous arthritis of the ankle had been described by Gavaskar et al. in 20097. We describe here our experience with patients who underwen...
Clinical Profile of Patients Underwent Total Hip Replacement
Introduction: The hip joint functions on the bioengineering principle of moment of force with a fulcrum, lever arm, power arm. Hip joint with the hemispherical femoral head articulating in the acetabular cup with abduc...
Assessment of Efficacy of Dynamic Hip Screw and Proximal Femoral Nail in the Treatment of Intertrochanteric Fracture of Femur: A Comparative Study
Background: Dynamic hip screw has been regarded as the average implants in the management of fractures of trochanter. Even with various studies that indicate the advantages of proximal femoral nail, they were still assoc...
Clinical Outcomes of ACL Reconstruction with B-P T-B Auto Graft Versus Hamstring Graft
Introduction: Restoration of the stability of the knee joint is the main goal of the ACL reconstruction. Other benefits include allowing the patient to return to normal activities, including sports; and to delay the onse...
Surgical Management of Bimalleolar Fractures By Open Reduction Internal Fixation
Introduction: Ankle joint is highly congruous and any disturbance of the normal articular relationship may result in some progressive arthrosis of biomechanical dysfunction. Malleolar fractures are one of the most common...