Sikandar Hayat, Syed Dil Bagh Ali Shah, Salman Khan, Aftab Khan, Zain Ullah.
Outcome of Non-Union Tibia, Managed with Illizarov Fixator.
Ophthalmol Update Jan ;14(4):177-80.

Objectives: To evaluate the outcome of tibial non-union managed with Ilizarov fixator. Methods: The case series was conducted at Khyber Teaching Hospital, Peshawar, from January 2013 to January 2015. Patients with non-union tibia were included in this study. Patients of either gender, with complex non-union of the tibia were included. Outcome of the treatment was assessed to check bony union with application of Ilizarov fixator. Results: A total of twenty cases with non-union tibia included in the study over a period of about 3 1/2 years. 50% (n=10) were aseptic non-union while 50% (n=10) infected non-union. 85% (n=17) were male while 15% (n=3) were female. Majority of the patients 60 % (n=12) belonged to age group 16-30 years. Left tibia was involved in 55% (n=11) while in remaining right tibia was involved. All the 100% (n=20) patients to whom illizarov frame applied, already two or more than two surgeries had been performed .In 60% (n=12) patients osteotomy was performed while in 40% (n=8) no osteotomy performed. In majority of the patients time to union following Illizarov application was one year. Only in 40% (n=8) patients bone grafting was needed. 95% (n=19) of non-union tibia united at the end of study period while only 5% (n=1) failed to unite. 20% (n=4) had shortening, 5 %(n=1) suffered from pin tract infection while 15% (n=3) suffered from equinus foot deformity at the end of study period. Conclusion: Ilizarov fixator is an excellent device in tibial non-union whether infected or aseptic. It eradicates infection and allows bone to unite.

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