Ilizarov Ring Fixation for Infected Tibial Non-Unions
Author Information
Author(s): Madhusudhan Thayur R, Ramesh Balasundaram, Manjunath KS, Shah Harshad M, Sundaresh Dabir C, Krishnappa N
Primary Institution: Glan Clwyd Hospital, Rhyl, UK
Hypothesis
The study aims to evaluate the suitability of Ilizarov ring fixation for treating recalcitrant infected tibial non-unions in the Indian population and the impact of socio-economic factors on functional outcomes.
Conclusion
Ilizarov ring fixation is effective for treating infected tibial non-unions, but optimal results require individualized treatment considering socio-economic factors.
Supporting Evidence
- Fracture union was achieved in 18 out of 22 patients without the need for bone grafting.
- Patients with good socio-economic support had better functional outcomes.
- Complications included pin tract infections and chronic osteomyelitis in some patients.
Takeaway
Doctors used a special fixator to help heal broken bones that wouldn't heal on their own, and it worked well for many patients, but some needed extra help because of their money situation.
Methodology
A 3-year prospective study involving 22 patients with infected tibial non-unions, analyzed using the ASAMI scoring system.
Potential Biases
Potential bias due to socio-economic status influencing treatment adherence and outcomes.
Limitations
Some patients opted for amputation, and there were issues with patient compliance and socio-economic factors affecting outcomes.
Participant Demographics
22 patients aged 20-52 years, predominantly male (18 males, 4 females), with varying socio-economic backgrounds.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website