International Journal of Current Research and Academic Review
ISSN:2347 - 3215 Volume 1 Number 1 (2013) pp. 89-97
Outcome of the docking site augmentation followed by Ilizarov s distraction osteogenesis technique for the treatment of skeletal defect created after debridement and resection of the necrotic bone
Mohammad Ruhullah*
Department of Orthopaedics, National Medical College, Nepal, India
A B S T R A C T
Open fractures of the tibia/fibula are common in RTA patients and may be fraught with complications as malunion, delayed union, nonunion, infection, deformity, bone loss and dead and necrotic bones. The Ilizarov method, as originally described for lengthening, treatment of non-union and bone transport, does not involve the use of bone-grafting at the docking site to aid rapid healing. The most common complication is nonunion of the docking site. In this report, we present a case of 18-year-old man with open fracture tibia/fibula treated initially with unilateral external fixation and followed by Ilizarov s distraction osteogenesis technique for skeletal defect created after adequate debridement and resection of the necrotic bone as a result of open fracture. We aimed to demonstrate the success of docking site augmentation of iliac crest cancellus bone graft has been shown to rapid consolidation, decrease the rate of non union and decrease the time of prolonged fixator use with respect to patient compliance managing complex frame adjustments.
Keywords
Open Fracture tibia; Dead Bone; Bone Defect; Bone graft; Ilizarov`s Technique