Management of Bone gaps in Tibia with Illizarov’s Ring fixator Application: A case series of 23 cases

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Suvarn Gupta, Anirudha Chandak, Vasant Gawande, Kunal Saoji, Ashwin Chavan, Ankush Mohabey, Ashutosh Parate

Abstract

Evaluation of outcome with Illizarov’s ring fixator (IRF) in the surgical treatment of bone gaps in tibia was the motive of the study.


Patients and methods: In this prospective study, 23 patients with bone gaps due to trauma and infection were managed by Illizarov’s fixator application. Transport of bone segment was done in all the patients having bone defects either primarily as a first line of management or secondarily preceded by primary surgery by some other modality.


Results: Bone union was achieved in all the fractures. Of all the cases, There were 10 cases with excellent results, 7 with good, and 5 with fair and 1with poor results. Functional result was found to be excellent in 6 cases, whereas there were 10 cases with good result, 6 showing fair results and 1 case with poor result.


Conclusion:


Illizarov’s ring fixator is a one of the best method for treatment of bone gaps as our results were comparable with the literature. In our series, the functional result seems to be inferior to the bone result. It was also observed that a the patient showing excellent bone union which had a severe infection does not guarantee a satisfactory functional outcome.

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