Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research 
RMJ. 2021; 46(2): 352-356


Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis

Adeel Ahmed Siddiqui, Mehtab Perwani, Muhammad Soughat Katto, Jagdesh Kumar, Uzair Yaqoob, Mariyam Adeel.

Abstract
Objective: To evaluate the functional and radiological outcomes of the Ilizarov method in the management of tibial gap nonunion.
Methodology: This retrospective cohort, descriptive study was performed at Dr. Ruth K.M. Pfau Civil, Hospital, Karachi, Pakistan, on patients 15-65 years of age, presenting with tibial gap nonunion from December 2016 to 2018. All patients underwent management with the Ilizarov technique. Functional and bone outcomes were evaluated according to the Association for the Study and Application of Methods of Ilizarov criteria.
Results: Out of 36 patients, 28 were males and 8 females, with a mean age of 33.2510.12 years. All patients achieved union, with a mean duration of 22.110.7 weeks. The mean time from referral to the application of the framework was 18.66.2 weeks. Compression was performed in 15 while compression-distraction in 19. In two patients, compression plus bone transport was done, while bone grafting was required in two. The average bone gap was 1.71.2 cm. Pin-tract infection was found in seven patients, buckling at docking site in one, and ankle stiffness in four. The functional outcome was good in 64%, the radiological outcome was excellent in 31%, while good in 58%.
Conclusion: The Ilizarov method of osteosynthesis is an effective technique in the management of complex infected and aseptic non-union fractures of the tibia to achieve a satisfactory functional and radiological outcome. The presence of infection may have delayed bone healing however; the bony union was achieved in all.

Key words: Tibial fractures, Ilizarov technique, osteosynthesis.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Adeel Ahmed Siddiqui
Articles by Mehtab Perwani
Articles by Muhammad Soughat Katto
Articles by Jagdesh Kumar
Articles by Uzair Yaqoob
Articles by Mariyam Adeel
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Siddiqui AA, Perwani M, Katto MS, Kumar J, Yaqoob U, Adeel M. Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. RMJ. 2021; 46(2): 352-356.


Web Style

Siddiqui AA, Perwani M, Katto MS, Kumar J, Yaqoob U, Adeel M. Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. http://www.rmj.org.pk/?mno=134994 [Access: June 12, 2021].


AMA (American Medical Association) Style

Siddiqui AA, Perwani M, Katto MS, Kumar J, Yaqoob U, Adeel M. Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. RMJ. 2021; 46(2): 352-356.



Vancouver/ICMJE Style

Siddiqui AA, Perwani M, Katto MS, Kumar J, Yaqoob U, Adeel M. Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. RMJ. (2021), [cited June 12, 2021]; 46(2): 352-356.



Harvard Style

Siddiqui, A. A., Perwani, . M., Katto, . M. S., Kumar, . J., Yaqoob, . U. & Adeel, . M. (2021) Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. RMJ, 46 (2), 352-356.



Turabian Style

Siddiqui, Adeel Ahmed, Mehtab Perwani, Muhammad Soughat Katto, Jagdesh Kumar, Uzair Yaqoob, and Mariyam Adeel. 2021. Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. Rawal Medical Journal, 46 (2), 352-356.



Chicago Style

Siddiqui, Adeel Ahmed, Mehtab Perwani, Muhammad Soughat Katto, Jagdesh Kumar, Uzair Yaqoob, and Mariyam Adeel. "Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis." Rawal Medical Journal 46 (2021), 352-356.



MLA (The Modern Language Association) Style

Siddiqui, Adeel Ahmed, Mehtab Perwani, Muhammad Soughat Katto, Jagdesh Kumar, Uzair Yaqoob, and Mariyam Adeel. "Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis." Rawal Medical Journal 46.2 (2021), 352-356. Print.



APA (American Psychological Association) Style

Siddiqui, A. A., Perwani, . M., Katto, . M. S., Kumar, . J., Yaqoob, . U. & Adeel, . M. (2021) Management of Tibial Bone Defect in Gap Non-Union with Ilizarov Fixation of Osteosynthesis. Rawal Medical Journal, 46 (2), 352-356.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED,  Scopus and Web of Science

                     Approved by the Higher Education Commission of Pakistan 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.