Itaat Hussain Zaidi, Badaruddin Sahito, Syed Mohammad Tariq, Dileep Kumar, Arsalan, Maratib Ali.
Outcome of Nonunion Femur with Ilizarov Technique.
J Surg Pak Jan ;20(4):147-50.

Objective: To find the outcome of Ilizarov technique in nounion femur patients. Study design: Descriptive case series. Place & Duration of study: Department of Orthopaedic Surgery Dow University of Health Sciences / Civil Hospital Karachi, from 1999 to 2014. Methodology: All patients with nonunion of femur with and without bony defect were included in this study. Bone loss cases because of other reasons like congenital causes and bone tumors, were excluded. Results: Forty-eight patients with nonunion femur were included in this study. The number of males was 44 and females 4. The mean age of patients was 27 year (range: 07 year to 59 year). The mode of injury was road traffic accident in fifteen patients, firearm injury in five, crush injury in earthquake in one, postsurgical implant infection in nineteen and chronic osteomyelitis in seven. Nonunion was in proximal femoral segment in three patients, midshaft in sixteen and distal femur in twenty-nine cases. Segmental bone loss was present in thirty-one patients. Preoperative shortening was in noted in thirty-four patients. Ilizarov external fixator yielded excellent and good outcome in majority of the patients for the gap nonunion of femur. Bone transport was needed in few cases. Conclusions: Ilizarov external fixator yielded excellent and good outcome in majority of the patients for the gap nonunion of femur. Bone transport was needed in 10 cases.

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