Presentation and management outcome of tibial infected non-union with Ilizarov technique

Objective: To document the presentation of tibial infected non-union and analyze the management outcome with Ilizarov technique in terms of bone results, functional outcome, bone transport time, external fixation time, external fixation index and any complications

Methods: This case series was conducted at the Departments of Orthopedic Surgery, National Institute of Rehabilitation Medicine [NIRM], Islamabad and Civil hospital, Quetta over a period of 3-years

Results: There were 56 patients with 53[94.64%] males and 3[5.35%] females. The age range was 16-50 years with a mean of 32.58+/-9.98 years. According to ASAMI criteria, bone results were excellent in 37[66%], good in 10[17.85%], fair in 6[10.71%] and poor in 3[5.35%]. The functional results were excellent in 37[66%], good in 9[16%], fair in 7[12.5%] and poor in 3[5.35%]. The bone union rate was 98.21%

Conclusion: Ilizarov method beautifully addresses the formidable issue of infected non union of tibia with good outcome in terms of bone healing and infection eradication. The treatment period is relatively lengthy and hence patience on part of patient as well as the surgical team is imperative for achieving favourable outcomes

Early outcome of operative fixation of tibial pilon fractures

To evaluate the outcome of operative fixation of pilon fracture. It was descriptive, non randomized uncontrolled study. It was conducted at Civil Hospital Quetta. Study included 41 patients out of which 10 patients were excluded from study due to various reasons at the end of study 31 patients were available, whose results were analyzed. A total number of 31 patients entered the study between 15 June 2007 June 20, 2008. The patients that were lost in follow up were not included in the study. Out of the 31 cases in 11 the fibula was fixed with 1/3rd tubular plate with 3 patients having good, 4 fair and 5 poor result. Four cases where ORIF with spoon plate was done on tibia and maintaining fibula length by 1/3 tubular plate had good results [100%]. In 3 cases tibia was fixed by screw only and fibula length was maintained by 1/3 tubular plate one had good one fair and poor results. In cases where tibia was stabilized by external fixator either combined or in single one patients had good 5 fair and 12 poor results