llizarov Technique in Treatrnent of Delayed and non Union of Tibial and Femoral Fractures 11 i
I Ihab Abdel Wahab Mahmoud Badawy;
Abstract
Summary
This study was done to evaluate the results of treatment of delayed union and nonunion of the tibia and femur using the Ilizarov's principles and fixator at El Hadra University hospital.
Twenty cases of tibial delayed union and nonunion ( 19 cases of nonunion, and one case of delayed union), and one case of a supracondylar femoral nonunion were included in this study.
The age of the tibial patients ranged from 21 to 65 years. Fifteen patients were males, and five patients were females. The femoral case was a male aged 35 years.
Summary
This study was done to evaluate the results of treatment of delayed union and nonunion of the tibia and femur using the Ilizarov's principles and fixator at El Hadra University hospital.
Twenty cases of tibial delayed union and nonunion ( 19 cases of nonunion, and one case of delayed union), and one case of a supracondylar femoral nonunion were included in this study.
The age of the tibial patients ranged from 21 to 65 years. Fifteen patients were males, and five patients were females. The femoral case was a male aged 35 years.
A full history was taken before the operation including: nature of the resultant trauma, type of initial injury, previous methods of treatment, duration of nonunion, history of previous infection, and associated general diseases.
All patients were examined for: fixed deformities, local signs of infection the condition of the underlying skin ,limb length discrepancy, and range of movements of the nearby joints. In addition, the vascular and neurological status of the limbs were assessed.
The patients were examined radiologically for: site of nonunion, deformities, type of nonunion, shape of nonunion, and signs of infection.
The llizarov frame was used in all cases.
The fracture site was opened in six of the tibial cases and in the femoral case. The bony deformities were conected acutely in twelve cases, and gradually in four cases.
Weight bearing and active exercises were started as soon as the patient tolerated. The latent period before distraction in cases that required lengthening ranged from 7 to 14 days. Distraction was started at a rate of 1 mm daily. The rate of distraction was modified according to the condition of the regenerate in the x-rays later on. Compression at the nonunion was done at a rate of 0.25 mm twice weekly. All patients were assessed during the f(JIIow up ({)r pin tract infection, neurovascular damage, compartment syndrome, deep vein thrombosis, failure of distraction, and pin loosening or fracture. Plain X-rays were used to assess healing of the fracture site,
and the corticotomy site.
Bone and functional results of all patients were assessed according to the method adopted by Paley et al in 1989. Bone healing was achieved in 19 out of20 tibial cases
This study was done to evaluate the results of treatment of delayed union and nonunion of the tibia and femur using the Ilizarov's principles and fixator at El Hadra University hospital.
Twenty cases of tibial delayed union and nonunion ( 19 cases of nonunion, and one case of delayed union), and one case of a supracondylar femoral nonunion were included in this study.
The age of the tibial patients ranged from 21 to 65 years. Fifteen patients were males, and five patients were females. The femoral case was a male aged 35 years.
Summary
This study was done to evaluate the results of treatment of delayed union and nonunion of the tibia and femur using the Ilizarov's principles and fixator at El Hadra University hospital.
Twenty cases of tibial delayed union and nonunion ( 19 cases of nonunion, and one case of delayed union), and one case of a supracondylar femoral nonunion were included in this study.
The age of the tibial patients ranged from 21 to 65 years. Fifteen patients were males, and five patients were females. The femoral case was a male aged 35 years.
A full history was taken before the operation including: nature of the resultant trauma, type of initial injury, previous methods of treatment, duration of nonunion, history of previous infection, and associated general diseases.
All patients were examined for: fixed deformities, local signs of infection the condition of the underlying skin ,limb length discrepancy, and range of movements of the nearby joints. In addition, the vascular and neurological status of the limbs were assessed.
The patients were examined radiologically for: site of nonunion, deformities, type of nonunion, shape of nonunion, and signs of infection.
The llizarov frame was used in all cases.
The fracture site was opened in six of the tibial cases and in the femoral case. The bony deformities were conected acutely in twelve cases, and gradually in four cases.
Weight bearing and active exercises were started as soon as the patient tolerated. The latent period before distraction in cases that required lengthening ranged from 7 to 14 days. Distraction was started at a rate of 1 mm daily. The rate of distraction was modified according to the condition of the regenerate in the x-rays later on. Compression at the nonunion was done at a rate of 0.25 mm twice weekly. All patients were assessed during the f(JIIow up ({)r pin tract infection, neurovascular damage, compartment syndrome, deep vein thrombosis, failure of distraction, and pin loosening or fracture. Plain X-rays were used to assess healing of the fracture site,
and the corticotomy site.
Bone and functional results of all patients were assessed according to the method adopted by Paley et al in 1989. Bone healing was achieved in 19 out of20 tibial cases
Other data
| Title | llizarov Technique in Treatrnent of Delayed and non Union of Tibial and Femoral Fractures 11 i | Other Titles | استخدام جهاز اليزاروف فى علاج حالات تاخر وعدم التئام القصبه والفخذ | Authors | I Ihab Abdel Wahab Mahmoud Badawy | Issue Date | 2001 |
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