MANAGMENT OF TIBIAL BONE DEFECTS BY SEGMENTAL BONE TRANSPORT USING ILIZAROV TECHNIQUE

Document Type : Original Article

Authors

1 orthopedic surgery , faculty of medicine, zagazig university

2 orthopedic surgery, faculty of medecine, zagazig university

3 orthopedic surgery dep., zagazig university

Abstract

Background: Tibial defect more than 4 cm is a common clinical entity, particularly among population with sever acute trauma, infection sequalae, congenital pseudoarthrosis tibia and following tumor resection. Segmental bone transport by using Ilizarov external fixator become the treatment of choice.
Aim of the work: The aim of this prospective study was to evaluate the results of using Ilizarov fixator in treatment of tibial defect, its advantages and complications.
Patients and Methods: Our prospective study was conducted involving 44 cases with tibial defects (from 4 to 15 cm) of different causes. All patents treated by segmental bone transport by using Ilizarov external fixator. All patients were operated at Zagazig University Hospitals.
Results: 44 patients were followed up from March 2018 to December 2021. Infection was eradicated in all cases and union was achieved in all cases with no cases limb amputation. The infection was eradicated in all the infected cases without the need for prolonged antibiotics and without reactivation throughout the period of follow up. The union was achieved in all the cases.
Conclusion: Distraction histogenesis is a good solution for the segmental tibial defects. The Ilizarov technique is complicated and requires a great deal of expertise to perform successfully. Ilizarov in bone defect reconstruction was less expensive, and easier to perform. Bone graft at the docking site may be needed to enhance the union and shortens the time in fixation.

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Zagazig University Medical Journal
Volume 30, Issue 2
March and April 2024
Pages 552-560

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