Management of Infected Non Union Distal third Tibia With Single Stage Ilizarov Method.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
The fractures of the distal third of the tibia and fibula are critical for treatments due to its subcutaneous position and minimal muscle cover which contributes to the complexity. Severe damage to the soft tissue indicates high risk of delayed bone union and results in contamination and a wide range of wound complications such as non-union, infection and necrosis.To achieve union with eradication of infection is an orthopaedic challenge. We have retrospectively reviewed cases of infected nonunion of distal third tibia managed by single stage debridement and Ilizarovmethod and analysed.A retrospective study of 16 adults (age 15-65 years) admitted to the orthopaedic department at Nizams Institute of Medical Sciences (NIMS), Hyderabad and with infected non union distal tibia was completed between July’2013 and July’2016. The patients were followed up for an average period of 15 months.The bone and functional results evaluated using ASAMI protocol revealed that bone union and eradication of infection was achieved in 15 out of 16 cases studied. In one patient arthrodesis was seen due to severe bone loss. However pinsite infection and pain was the most common observation.Infected distal third non union tibia can be managed in single stage provided good care while elevating skin flaps is taken. This procedure shortens the rehabilitation protocol and follow-up can be minimised.
Authors and Affiliations
Dr. Cherukuri Nagesh, Dr. Raja Ramesh Badavath, Dr PA Shravan Kumar
Keywords
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- EP ID EP255923
- DOI 10.9790/0853-1609031720
- Views 44
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