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 |