• N KHAN Department of Orthopedics at ICS Jinnah Medical and Dental College, Pakistan
  • A SIDDIQI Nuffield orthopedic center United Kingdom
  • S SIYAL Department of Orthopedics, CMC at Shaheed Mohtarma Benazir Bhutto Medical university Larkana, Pakistan
  • MA SHAIKH Department of Orthopedics, CMC at Shaheed Mohtarma Benazir Bhutto Medical university Larkana, Pakistan
  • A SHAIKH Department of Pharmacology, BADC at Shaheed Mohtarma Benazir Bhutto Medical university Larkana, Pakistan
  • AR LAGHARI Department of Orthopedics, GMMMC at Shaheed Mohtarma Benazir Bhutto Medical university Larkana, Pakistan
  • FJ SIYAL Department of Pharmacology, CMC at Shaheed Mohtarma Benazir Bhutto Medical university Larkana. Pakistan




Ilizarov, Risk factors, Adverse events, Hypertension, Diabetes mellitus


To assess risk factors affecting patient compliance and motivation and their interplay with adverse events affecting the outcome of Ilizarov surgery in a tertiary care hospital. The study was performed at the Orthopaedics Department, Liaquat National Hospital, Karachi, for 3 years (January 2014 to January 2017). The ethics review committee approved the study. During this period, 260 patients were operated with Ilizarov in our center. The mean age was 30 years. Factors examined include family income, living conditions, level of education, ethnic/cultural background, language barrier etc. Outcome measures were pin tract infection and treatment failure, such as abandoning treatment or amputation. Out of 193 patients, 148(76.6%) patients were males and 45(23.3%) patients were females. 44(22.7%) patients had underlying systemic diseases such as Hypertension and Diabetes mellitus. Out of 44 patients, 26(13.4%) patients had Hypertension and 18(9.3%) patients had Diabetes mellitus. Out of 193 patients, 157(81%) had favorable outcome whereas 37(19.1%) patients had unfavorable outcomes. Out of 37 patients, we had 28(75.6%) pin tract infections. Most were treated conservatively with antibiotics and dressings. There were 9(24.3%) patients with failure of treatment. The ethnic background of the patient, level of education, living conditions etc played a significant role in preventing developing pin tract infections and treatment failure.


Download data is not yet available.


Debnath, U. K., Jha, D. K., & Pujari, P. K. (2018). Results of ring (Ilizarov) fixator in high energy Schatzker type VI fractures of proximal tibia. Journal of clinical orthopaedics and trauma, 9(2), 186-191

Dendrinos, G. K., Kontos, S., & Lyritsis, E. (1995). Use of the Ilizarov technique for treatment of non-union of the tibia associated with infection. JBJS, 77(6), 835-846.

Gerrish, K., Chau, R., Sobowale, A., & Birks, E. (2004). Bridging the language barrier: the use of interpreters in primary care nursing. Health & social care in the community, 12(5), 407-413.

Ilizarov, G. A. (1990). Clinical application of the tension-stress effect for limb lengthening. Clinical Orthopaedics and Related Research (1976-2007), 250, 8-26.

Jerzy, K., & Francis, H. (2018). Chronic osteomyelitis-bacterial flora, antibiotic sensitivity and treatment challenges. The open orthopaedics journal, 12, 153.

Marsh, J. L., Smith, S. T., & Do, T. T. (1995). External fixation and limited internal fixation for complex fractures of the tibial plateau. JBJS, 77(5), 661-673.

Memon, G. R. (2007). Education in Pakistan: The key issues, problems and the new challenges. Journal of management and social sciences, 3(1), 47-55.

Nasreen, M., Tate, S., & UNICEF. (2007). Social inclusion: Gender and equity in education swaps in South Asia: Bangladesh case Study. (No Title).

Novikov, K. I., Subramanyam, K. N., Muradisinov, S. O., Novikova, O. S., & Kolesnikova, E. S. (2014). Cosmetic lower limb lengthening by Ilizarov apparatus: what are the risks?. Clinical Orthopaedics and Related Research®, 472, 3549-3556.

Prabhu Ethiraj, D. S. M. D., & Arya, S. (2016). A clinical study of Ilizarov technique in infected non union of fracture shaft of tibia. International Journal of Orthopaedics, 2(4), 77-80.

Shankar, P. R., Paudel, R., & Giri, B. R. (2006). Healing traditions in Nepal. J Am Assoc Integr Med.

Sharma JK. (2018). Picturesque of a young poor boy as an example revealing chronic osteomyelitis and its morbidity in respect to ignorance and traditional healers in developing country like nepal through the eye of tertiary care facility. Global journal for research analysis. 7(2).

Sowell, R. L., Lowenstein, A., Moneyham, L., Demi, A., Mizuno, Y., & Seals, B. F. (1997). Resources, stigma, and patterns of disclosure in rural women with HIV infection. Public Health Nursing, 14(5), 302-312.

Uysal, M. (2018). The Treatment of Complications in Ilizarov Technique. Basic Techniques for Extremity Reconstruction: External Fixator Applications According to Ilizarov Principles, 691-699.

World Health Organization. (2000). The world health report 2000: health systems: improving performance. World Health Organization.




How to Cite

KHAN, N., SIDDIQI, A., SIYAL, S., SHAIKH, M., SHAIKH, A., LAGHARI, A., & SIYAL, F. (2023). HAZARDOUS ASPECTS AFFECTING PATIENT COMPLIANCE WITH FRAME CARE IN ILIZAROV SURGERY AT SINDH, PAKISTAN. Biological and Clinical Sciences Research Journal, 2023(1), 425. https://doi.org/10.54112/bcsrj.v2023i1.424

Most read articles by the same author(s)

1 2 > >>