Management of Infected Non-united Tibial Fractures by Ilizarov External Fixator with compression distraction technique

Abstract

This study included 30 patients with infected non united shaft tibia fractures with bone defect after debridement up to 6 cm. the study included 27 males and 3 females, mean age was 36 years old. The average time between fracture and inclusion in the study was 14 month. The average number of previous operations was 2 surgeries. Soft tissue compromise was present in 10 patients.Operative technique: adequate debridement of soft tissue and bone at the fracture site followed application of the preassembled frame. Acute compression at the fracture site with check of the distal circulation followed by corticotomy at the metaphysis far to the fracture.Ilizarov fixation with compression distraction technique is a safe and a reliable method for treatment of infected non united tibia. There is no definite safe limits for acute compression.