EVALUATION OF THE OUTCOME OF THE ILIZAROV TECHNIQUE FOR THE TREATMENT OF TIBIAL BONE AND SOFT TISSUE INJURY

MA RAZZAQUE; MI HAIDER; MU REHMAN; M SHAFIQ; T AHMAD; B AHMED

doi:10.54112/bcsrj.v2023i1.194

Authors

MA RAZZAQUE Department of orthopaedics, Bakhtawar Amin Trust Hospital Multan, Pakistan
MI HAIDER Department of orthopaedics, NMU & H Multan, Pakistan
MU REHMAN Department of orthopaedics, Bakhrawar Amin Medical & Dental College Multan, Pakistan
M SHAFIQ Department of orthopaedics, DHQ Hospital Muzaffargarh, Pakistan
T AHMAD Department of orthopaedics, Noreen Nishat Welfare Hospital Khanewal, Pakistan
B AHMED Department of orthopaedics, Bakhtawar Amin Trust Hospital Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.194

Keywords:

Illizarov method, open tibial fracture, soft tissue defect, radial resection, bone transport, leg length discrepancy

Abstract

This study was designed to assess the outcome of the illizarov method for treating patients with dead bone segments or open fractures along with severe soft tissue injury. This retrospective study was conducted at Bakhtawar Ameen Trust Hospital, Multan, from September 2019 to September 2022. A total of 35 patients having non-union tibial fractures and dead bone segments were included in the study. These patients had tibia grade 3 open fractures and had undergone bone grafting and soft tissue closure. The defective bone segment was debrided, and radical resection was done. Illizarov technique was performed on all subjects. All patients reported good smooth tissue coverage and bone transport. The mean docking period of bone transport in all subjects was 3.87 ± 0.45 months. A leg length discrepancy of 1 cm occurred in 4 subjects. No subject complained of pain at follow-up. The Illizarov method is effective for the management of bone and soft tissue injuries.

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References

Abula, A., Yushan, M., Ren, P., Abulaiti, A., Ma, C., and Yusufu, A. (2020). Reconstruction of soft tissue defects and bone loss in the tibia by flap transfer and bone transport by distraction osteogenesis: a case series and our experience. Annals of Plastic Surgery 84, S202-S207.

Agha, R. A., Sohrabi, C., Mathew, G., Franchi, T., Kerwan, A., O'Neill, N., Thoma, A., Beamish, A. J., Noureldin, A., and Rao, A. (2020). The PROCESS 2020 guideline: updating consensus preferred reporting of CasE series in surgery (PROCESS) guidelines. International journal of surgery 84, 231-235.

Aktuglu, K., Erol, K., and Vahabi, A. (2019). Ilizarov bone transport and treatment of critical-sized tibial bone defects: a narrative review. Journal of Orthopaedics and Traumatology 20, 1-14.

Biz, C., Crimì, A., Fantoni, I., Vigo, M., Iacobellis, C., and Ruggieri, P. (2021). Functional outcome and complications after treatment of comminuted tibial fractures or deformities using Ilizarov bone transport: a single-center study at 15-to 30-year follow-up. Archives of orthopaedic and trauma surgery 141, 1825-1833.

Feltri, P., Solaro, L., Di Martino, A., Candrian, C., Errani, C., and Filardo, G. (2022). Union, complication, reintervention and failure rates of surgical techniques for large diaphyseal defects: a systematic review and meta-analysis. Scientific Reports 12, 1-14.

Hansen, C. F., Jensen, J., Odgaard, A., Siersma, V., Comins, J. D., Brodersen, J., and Krogsgaard, M. R. (2022). Four of five frequently used orthopedic PROMs possess inadequate content validity: a COSMIN evaluation of the mHHS, HAGOS, IKDC-SKF, KOOS and KNEES-ACL. Knee Surgery, Sports Traumatology, Arthroscopy 30, 3602-3615.

Hsu, C.-A., Chen, S.-H., Chan, S.-Y., and Yu, Y.-H. (2020). The induced membrane technique for the management of segmental tibial defect or non-union: a systematic review and meta-analysis. BioMed Research International 2020.

Leigheb, M., Rava, E., Vaiuso, D., Samaila, E. M., Pogliacomi, F., Bosetti, M., Grassi, F. A., and Sabbatini, M. (2020). Translation, cross-cultural adaptation, reliability, and validation of the italian version of the Foot and Ankle Disability Index (FADI). Acta Bio Medica: Atenei Parmensis 91, 160.

Li, R., Zhu, G., Chen, C., Chen, Y., and Ren, G. (2020). Bone transport for treatment of traumatic composite tibial bone and soft tissue defects: any specific needs besides the Ilizarov technique? BioMed Research International 2020.

Lua, J., Tan, V., Sivasubramanian, H., and Kwek, E. (2017). Complications of open tibial fracture management: risk factors and treatment. Malaysian orthopaedic journal 11, 18.

Roddy, E., DeBaun, M. R., Daoud-Gray, A., Yang, Y. P., and Gardner, M. J. (2018). Treatment of critical-sized bone defects: clinical and tissue engineering perspectives. European Journal of Orthopaedic Surgery & Traumatology 28, 351-362.

Sharma, B., Shakunt, R. K., Patel, J., and Pal, C. P. (2021). Outcome of limb reconstruction system in tibial infected non-union and open tibial diaphysial fracture with bone loss. Journal of Clinical Orthopaedics and Trauma 15, 136-138.

Thabet, A. M., Craft, M., Pisquiy, J., Jeon, S., Abdelgawad, A., and Azzam, W. (2022). Tibial shaft fractures in the adolescents: treatment outcomes and the risk factors for complications. Injury 53, 706-712.

Tomić, S., and Baljozović, A. (2018). Distal humerus nonunions after failed internal fixation: Treatment with Ilizarov external fixator. Srpski arhiv za celokupno lekarstvo 146, 169-173.

Yushan, M., Ren, P., Abula, A., Alike, Y., Abulaiti, A., Ma, C., and Yusufu, A. (2020). Bifocal or trifocal (double‐level) bone transport using unilateral rail system in the treatment of large tibial defects caused by infection: a retrospective study. Orthopaedic Surgery 12, 184-193.