Bone transport in segmental defect in femur and tibia using Naseer Awaits fixator

ABSTRACT

To evaluate the Ilizarov method of segment transport with a locally made linear Naseer Awais fixator. Design: Prospective study comprising Twenty cases. Setting: Department of Orthopaedics Allama Iqbal Medical College, Lahore [Pakistan]. Subjects: 19 male and one female reporting for segmental defects in femur and tibia both with and without infection. The locally made fixator proved reliable. The process of segment transport was completed in 16 cases, 4 had complications putting an end to the process. Consolidation of the segment was delayed as compared to studies by the pioneers in this field. Problems of pin tract infection, early consolidation improper docking, spindling of the regenerate segment and poor quality regenerate formation were encountered. Ilizarov method of segment transport has a sound biological basis. It is independent of the type of fixator. It requires great deal of time and effort on the part of the surgeon and the patients. The patients should be psychologically prepared and the whole course and mechanics of the procedure should be thoroughly explained to them