STUDY OF FUNCTIONALAND RADIOLOGICAL OUTCOME OF ILIZAROV FIXATION IN MANAGEMENT OF GAP NON UNION OF LONG BONES

Abstract

Due to increasing motor vehicular accidents, there is high incidence of compound fractures of long bones particularly Gustillo type 3a or 3b with extensive soft tissue damage and periosteal stripping. These type of injuries have decreased vascularity of the tissues around the fracture site and increased probability of complications. In these injuries Ilizarov xator provides single step denitive xation method that deals with gap nonunion and bone infection simultaneously. This study aims to assess functional and radiological outcome using ASAMI criteria of Ilizarov xation in gap nonunion of long bones. a total of 30 patients were included in the study suffering from gap nonunion which fullled inclusion and exclusion criteria. Patients underwent Ilizarov xation and were followed up for a period of minimum 6 months and assessed using ASAMI functional and radiological criteria. radiological results: 12 patients (40%) had excellent, 15 patients (50%) had good, 2 patients (6%) had fair and 1 (4%) had poor results. Union was achieved in all 30 patients. Functional results: 09 patients (30%) had excellent, 18 patients (60%) had good and 2 patients (6%) had fair results and 1 (4%) patients had poor results: Ilizarov ring xation is a versatile approach for patients with gap nonunion as it provides excellent results and aid in early weight bearing, decreased dependency, and increased quality of living.