What to Learn from this Article?

Management of Complex Situation with Ilizarov.

Case Report |  Volume 4 | Issue 3 | JOCR July-Sep 2014 | Page 56-58 | Parekh HP, Dwidmuthe SC, Patil SD, Sonar S.  DOI: 10.13107/jocr.2250-0685.198

Authors: Parekh HP[1], Dwidmuthe SC[2], Patil SD[3], Sonar S[4]

[1] Department. of Orthopaedics, Smt. Kashibai Navale Meical college and General Hospital, S.No. 49/1, Narhe , Pune – 411 041. India. 

[2] NKP SIMS & LMH, Digdoh Hills Nagpur. India.

[3]Chief consultant orthopaedics surgeon, Noble Hospital, Hadapsar, Pune. India.

[4] Consultant Orthopaedic Surgeon, Nagpur. India.

Address of Correspondence:

Dr. Hemant Parekh, Department. of Orthopaedics, Smt. Kashibai Navale Meical college and General Hospital, S.No. 49/1,  Narhe , Pune – 411 041. India. E-mail- dr_hemantparekh@yahoo.com


Introduction: The treatment of tibia bone loss can be challenging. The surgical options for the treatment of bone loss include bone transport, vascularized fibula graft, and induced membrane.

Case Report: We present a case of complex compound fracture of tibia with bone loss.  Interestingly patient sustained this injury in spite of having intramedullary nail in tibia which was inserted to stabilize previous fracture 9 months prior to trauma. The proximal half of the nail was protruding out of the wound at the time of presentation in emergency department. The nail was removed and stabilized with external fixator after wound closure. The bone gap and nonunion at fracture site was managed with Ilizarov fixator. At the end of treatment patient got satisfactory functional outcome.

Conclusion: Ilizarov method is a biologic and comprehensive method for management of bone loss, non union and limb length discrepancy.

Keywords: Fracture tibia, bone loss, Ilizarov, distraction osteogenesis.

How to Cite This Article: Parekh HP, Dwidmuthe SC, Patil SD, Sonar S. Complex Compound Fracture of Tibia Managed with Distraction Osteogenesis. Journal of Orthopaedic Case Reports 2014 July-Sep;4(3): 56-58. Available from: http://www.jocr.co.in/wp/2014/07/11/2250-0685-198-abstract/

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