Muhammad Ayaz Khan, Muhammad Saqib, Muhammad Imran Khan, Fazle Karam, Abbas Ali.
Management of gap non union by bone transport of tibia using Ilizarov fixator.
Pak J Surg Jan ;29(4):281-4.

Background: Gap non union in tibia is challenging problem which needs adequate management in order to restore union of bone and limb length. Multiplanar external fi xator or distraction osteogenesis (ilizarov technique) is one of the eff ective way of managing gap non union. Th is study was conducted in order to determine the outcome of ilizarov technique in management of gap non union of tibia. Design: Cross sectional descriptive study. Sett ing and duration: Orthopaedic unit, Khyber Teaching Hospital Peshawar from December 2010 to October 2012. Materials and Methods: 30 patients comprising of 20 male and 10 female with gap non union of either tibia who were managed with ilizrov fi xator. Patients with more than 5 cm gap non union of either gender between the ages of 15 to 50 were included in the study. Gap fi lling was assessed according to ASAMI (Association for the Study and Application of the Methods of Ilizarov) score. Results were analysed with the help of SPSS version 10.0 and presented in the form of tables and graphs. Results: Out of 30 patients, 20(66%) were male and 10(34%) were female. Right tibia was involved in 12 patients and Left tibia in 18 patients. According to ASAMI criteria, 16 (53%) patients had Excellent,6 (20%) patients had good,4 (13%) patients had fair and 4 (13%) had poor results. Functional results were excellent in 14(47%) patients, good in 9(30%),fair in 5(17%)and poor in 1(3%) patient. Conclusion: Ilizarov is an excellent treatment modality in managing gap non union of tibia with high rate of success in achieving bone union, eradicating infection, bone loss and deformity.

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