J Korean Fract Soc.  2005 Oct;18(4):405-409. 10.12671/jkfs.2005.18.4.405.

Radical Necrotic Bone Resection and Ilizarov Technique for Infected Nonunion of the Tibia

• Lee KB
• Kim BS
• Jung ST
• Song EK
• Kang KD

• KMID: 2015405
• DOI: http://doi.org/10.12671/jkfs.2005.18.4.405

Abstract

PURPOSE: To evaluate the clinical results of radical necrotic bone resection and distraction osteogenesis for the treatment of infected nonunion of tibia using the Ilizarov technique.
MATERIALS AND METHODS
32 patients who were followed up at least 1 year after the treatment of infected nonunion of tibia from March 1995 to March 2001 were evaluated. Their mean age was 43 years and mean duration of follow-up was 37 months. The results were divided into bone results and functional results and analyzed by grading to excellent, good, fair, and poor.
RESULTS
The average amount of bone lengthening was 5.3 cm (range, 2~10 cm) and the average healing index was 61.5 days/cm (range, 52.7~70.4 days/cm). Bony union was obtained at average 10.3 months in all cases. The bone result was excellent in 9 cases, good 18, and fair 5. The functional result was excellent in 8 cases, good 16, fair 7, and poor 1 case.
CONCLUSION
Ilizarov technique is an effective method in the treatment of infected nonunion of tibia for early range of motion exercise, weight bearing and correction of limb shortening.

Keyword

Tibia; Infected nonunion; Ilizarov

MeSH Terms

Bone Lengthening
Extremities
Follow-Up Studies
Humans
Ilizarov Technique*
Osteogenesis, Distraction
Range of Motion, Articular
Tibia*
Weight-Bearing