Application of technique of stretch and press of ILIZAROV in the treatment of false joint and bone loss in the lower limb by extracorporeal fixation frame

ABSTRACT

Bony defect of the tibia and femur have been usually seen in our country. Two most serious complications were the nonunion with bone loss. Three main etiologies open fracture after traffic accident, tumor of the bone and chronic osteomyelitis. Classic treatment method for nonunion with bone loss of lower limb have been used autografts, allograts, Hahn’s method or free vascularized bone result bone healing. Those treatment still have complication infection, the bone frafts fracture and deficit recover of the bone’s length on the lower limb. Since May 1994 - May 2000, in the Orthopaedics Department of Nhan Dan Gia Dinh hospital, Ho Chi Minh City, 36 patients involving nonunion with extensive bone loss were treated by extracorporeal fixation system with principle stable, may lengthen for the long bone which follows lliraroz’s method. Result: 24 cases are good, 9 cases are medium, 3 cases are bad.