Illizarov Surgery in Nonunion of the Shaft of Tibia Fracture: Treatment Procedure and Functional Outcome among Patients Attending in a Tertiary Care Hospital

Abstract

Background: Non-unions of the Tibia fracture is basically an orthopedic critical condition when the level of acute inferior wall NTF habitually depends on the infarct associated artery patients having surgery depression. Non- unions of the tibia, predominantly found in the distal third of the bone, are comparatively common in most clinical cases. Methods: This study was a hospital based, retrospective, descriptive study, which was conducted at the department of Orthopedics in NITOR, Bangladesh. This study was conducted during the period of May 2021- June 2022. The total sample size for this study was 52. Result: Most of the respondents 18(34.6%) were aged from 21-30 years and followed by 7(13.5%) were <20 years, 14(26.9%) were 31-40 years, 10(19.2%) were 41-50 years and 3(5.8%) were >50 years. Most of the respondents 35(67%) were male where only 17(33%) were female. 31(60%) cases found with right sided nonunion and 21(40%) cases with left sided nonunion. Atrophic nonunion was found in 19(36.5%) cases, hypertrophic nonunion in most 27(51.9%) cases and the rest 6(11.5%) had oligotrophic nonunion. A1 type of nonunion was seen in 19(36.5%) cases and followed by A2.2 in most 27(51.9%) cases, B2 in 4(7.7%) cases and B3 in 2(3.8%) cases. 30(57.7%) cases showed excellent outcome whereas 18(34.6%) cases had good outcome, 3(5.8%) cases showed fair outcome and only 1(1.9%) case had poor outcome. Conclusion: Ilizarov external fixator is best suitable for treating infected non-union of tibia for its steady mechanical environment, conveyance bone, correct defects, and allow weight bearing during the treatment course.