Management of Complex Situation with Ilizarov.
Dr. Hemant Parekh, Department. of Orthopaedics, Smt. Kashibai Navale Meical college and General Hospital, S.No. 49/1, Narhe , Pune – 411 041. India. E-mail- dr_hemantparekh@yahoo.com
Introduction: The treatment of tibia bone loss can be challenging. The surgical options for the treatment of bone loss include bone transport, vascularized fibula graft, and induced membrane.
Case Report: We present a case of complex compound fracture of tibia with bone loss. Interestingly patient sustained this injury in spite of having intramedullary nail in tibia which was inserted to stabilize previous fracture 9 months prior to trauma. The proximal half of the nail was protruding out of the wound at the time of presentation in emergency department. The nail was removed and stabilized with external fixator after wound closure. The bone gap and nonunion at fracture site was managed with Ilizarov fixator. At the end of treatment patient got satisfactory functional outcome.
Conclusion: Ilizarov method is a biologic and comprehensive method for management of bone loss, non union and limb length discrepancy.
Keywords: Fracture tibia, bone loss, Ilizarov, distraction osteogenesis.
Related Articles in Journal of Orthopaedic Case Reports
April 10, 2021 Mind the gap! The Lucent Line Sign: A Pathognomonic Radiographic Finding in Periprosthetic Hip Fractures Around Cemented Polished Tapered Femoral Stems
November 10, 2023 Bilateral Paired Calcaneal Spur: A Rare Entity
September 10, 2021 Giant Cell Tumor of Intermediate Cuneiform Evolving into Aneurysmal Bone Cyst: A Rare Case Report
December 14, 2014 Does Your Patient’s Urine Turns Dark? Alkaptonuria and Low Back Ache: A Literature Review