Management of segmental bone defects by Ilizarov technique

ABSTRACT

This study included 20 segments in 20 patients with segmental bone defects [16 tibial and 4 femoral] due to non-union, chronic osteomyelitis or pseudoarthrosis. All tibial segments were managed by intercalary bone transport while, in all femoral segments, immediate excision of pathological segments and acute gap reduction were done according to the soft tissues around. Then bone transport with or without lengthening was started. Our average age was 19.2 y [9-42 y]. Male to female ratio was 11 9. Also, the average length of the regenerated segment was about 6.9 cm [4 - 14.5 cm] with an average fixator time of 10.6 m [5 - 18m]. All cases were followed up after fixator removal for about 13m [6 -22m]. Some complications were met, but satisfactory results were obtained in most cases