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| Year : 2001 | Volume
: 35
| Issue : 4 | Page : 245-248 |
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Treatment Of Difficult Tibial Nonunion By Ilizarov Method
Rajesh Chandra, M. K. S Swamy, V. K Sharma, B. S Murthy, K. S Rao
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Correspondence Address:
Rajesh Chandra
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Forty-eight cases of difficult nonunion of tibia with gap between the fragments were studied. The commonest cause of nonunion was open fractures of tibia leading to infected non-union. The mean gap was 4 cm (ranged 2 to 12 cm). They were treated by bifocal osteosynthesis with gradual distraction at the corticotomy site and compression at the nonunion site by bone transport. Cancellous bone grafts were used, wherever necessary and length of the limb was restored by distracting the fragment below the corticotomy at the proximal tibia. Follow-up ranged from one year to 3 years. Union was achieved in all the cases. The mean time to union was 10 months (range 7 to 23 months). The functional results were good in 30 patients, fair in 17 and poor in one patient. The complications observed were wire breakage, pin tract infection, equines deformity, transient common peroneal nerve palsy, re-fracture and amputation. |
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