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249585

MANAGMENT OF TIBIAL BONE DEFECTS BY SEGMENTAL BONE TRANSPORT USING ILIZAROV TECHNIQUE

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Orthopedic

Abstract

Background: Tibial defect more than 4 cm is a common clinical entity, particularly among population with sever acute trauma, infection sequalae, congenital pseudoarthrosis tibia and following tumor resection. Segmental bone transport by using Ilizarov external fixator become the treatment of choice.
Aim of the work: The aim of this prospective study was to evaluate the results of using Ilizarov fixator in treatment of tibial defect, its advantages and complications.
Patients and Methods: Our prospective study was conducted involving 44 cases with tibial defects (from 4 to 15 cm) of different causes. All patents treated by segmental bone transport by using Ilizarov external fixator. All patients were operated at Zagazig University Hospitals.
Results: 44 patients were followed up from March 2018 to December 2021. Infection was eradicated in all cases and union was achieved in all cases with no cases limb amputation. The infection was eradicated in all the infected cases without the need for prolonged antibiotics and without reactivation throughout the period of follow up. The union was achieved in all the cases.
Conclusion: Distraction histogenesis is a good solution for the segmental tibial defects. The Ilizarov technique is complicated and requires a great deal of expertise to perform successfully. Ilizarov in bone defect reconstruction was less expensive, and easier to perform. Bone graft at the docking site may be needed to enhance the union and shortens the time in fixation.

DOI

10.21608/zumj.2022.145923.2589

Keywords

bone transport, Bone lengthening, Ilizarov, Distraction osteogenesis

Authors

First Name

ahmed

Last Name

ghorab

MiddleName

salah

Affiliation

orthopedic surgery , faculty of medicine, zagazig university

Email

ahmed.ghorab.2021@gmail.com

City

-

Orcid

-

First Name

alaa

Last Name

elnegehy

MiddleName

-

Affiliation

orthopedic surgery, faculty of medecine, zagazig university

Email

aaelnegehy@yahoo.com

City

-

Orcid

-

First Name

Adel

Last Name

Salama

MiddleName

-

Affiliation

orthopedic surgery dep., zagazig university

Email

adelsalamaa@gmail.com

City

-

Orcid

-

First Name

hossam eldin

Last Name

abdel aziz

MiddleName

fekry

Affiliation

orthopedic surgery dep., zagazig university

Email

hosam_fkry@hotmail.com

City

-

Orcid

-

Volume

30

Article Issue

2

Related Issue

45687

Issue Date

2024-03-01

Receive Date

2022-07-02

Publish Date

2024-03-01

Page Start

552

Page End

560

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_249585.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=249585

Order

33

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

MANAGMENT OF TIBIAL BONE DEFECTS BY SEGMENTAL BONE TRANSPORT USING ILIZAROV TECHNIQUE

Details

Type

Article

Created At

30 Dec 2024