Observation of role of orthofix limb reconstruction system in with non-union with bone loss lengthening due to fresh fractures

Abstract

The concept of Bifocal osteos1ynthesis is distraction at the Osteotomy site and compression at the non-union site with rhythmical distraction leads on the neo-osteogenesis and consolidation of cortectomy site. Transporting a segment of bone increases the vascularity of the fracture ends. Once the vascularity of the fracture ends increases, the infection will be eradicated and there will be healing of non-union. Daring transportation phase for bone lengthening their Wet pin tract infection and loosening in two cases for which pin Tension was done. ln all cases, neither there was infection at the Corticectomy site nor at the distraction sites. After a period of Waiting for consolidation to occur, the final result of the healing of the osteotomy was adequate in all cases. The cases (seven) with limb length discrepancy up to 2.5 cms in lower limb managed with modified footwear with heel and sole raise. One case of femur nonunion had angular deformity of 15 degrees. Six cases had knee stiffness; three cases had ankle stiffness. There was no neurological or vascular injury as a result of instrumentation. Bone healing index was (days of fixator use/centimeters of length gain) 69.1 days/cm.