A prospective study of the effectiveness of Ilizarov ring fixator in the surgical treatment of tibial fracture infective none: Unions in adults

Dr. Muralidharan R and Dr. Venkatachalam K
DOI: https://doi.org/10.22271/ortho.2019.v5.i3g.1565

Abstract :

Infective non-unions of the tibia are a surgical challenge because of their compromised bone vascularity and are prone to limb shortening when treated by conventional methods. In this prospective case series done between January 2016 to December 2018, we treated 21 patients, reporting with infective non-union of the tibia by the application of Ilizarov external ring fixator.

In the elected infective non-unions of the tibia, the pus discharge from the sinuses, if any was sent for pus swab culture and sensitivity and appropriate parenteral antibiotics were initiated. The dressing was done daily with a silver stream solution (containing colloidal silver ions) for 2 to 3 weeks.
After the discharge had minimised, the patient was taken up for operation.