The Management of Massive Tibial Bone Defect Using Unifocal Bone Transport with Ilizarov Apparatus: A case study
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Keywords

Ilizarov Technique
Tibia
Fracture
Lengthening

How to Cite

1.
A Alshahrani A, Argan MS, Alqahtani WAA, Al Hoban MAM, Tedla JS, Ahmed I. The Management of Massive Tibial Bone Defect Using Unifocal Bone Transport with Ilizarov Apparatus: A case study. Integr J Med Sci [Internet]. 2020Jun.16 [cited 2020Sep.27];7. Available from: http://mbmj.org/index.php/ijms/article/view/165

Abstract

Introduction: Ilizarov technique is one of the excellent methods used for bony lengthening. The current literature states that the maximum possible amount of tibial lengthening by bifocal transport of an Ilizarov apparatus was 22 cm, while the maximum amount of tibial lengthening by unifocal transport of an Ilizarov apparatus was 14.5 cm.
Case report: 40 years old Saudi teacher was presented with an open fracture at right tibia of type 3B. Second debridement was done and ended up with 21.49 cm bone loss of middle Tibial segment. Local flap plastic surgery was done to cover the skin defect and the bone transport was done with a rate of 1mm/day. The overall healing was excellent, and the patient returned to his preinjury functional activity and rejoined his job as a teacher.
Conclusion: Thus, the current case report is a unique new record of 21.49 cm of tibial lengthening achieved by Ilizarov apparatus using unifocal transport. This will be a treatment hope for the patients with excessive bone loss.

https://doi.org/10.15342/ijms.7.165
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References

Spiegelberg B, Parratt T, Dheerendra SK, Khan WS, Jennings R, Marsh DR. Ilizarov principles of deformity correction. Ann R Coll Surg Engl. 2010 Mar;92(2):101–5. DOI:10.1308/003588410X12518836439326

Alkenani NS, Alosfoor MA, Al-Araifi AK, Alnuaim HA. Ilizarov bone transport after massive tibial trauma: Case report. Int J Surg Case Rep. 2016;28:101–6. DOI:10.1016/j.ijscr.2016.08.040

Mora R, Bertani B, Pedrotti L, Tuvo G, Gili S. Compression-distraction methods. In: Nonunion of the Long Bones: Diagnosis and Treatment with Compression-Distraction Techniques. Springer Milan; 2006. p. 89–117. DOI:10.1007/88-470-0409-8_9

Mauffrey C, Barlow BT, Smith W. Management of segmental bone defects. Vol. 23, Journal of the American Academy of Orthopaedic Surgeons. Lippincott Williams and Wilkins; 2015. p. 143–53. DOI:10.5435/JAAOS-D-14-00018

Paley D, Kovelman HF, Herzenberg JE. Ilizarov technology. Advances in Operative Orthopaedics. St. Louis, Mosby-Year Book. 1993;1:243-87.

Green SA, Jackson JM, Wall DM, Marinow HA, Ishkanian JA. Management of segmental defects by the Ilizarov intercalary bone transport method. Clinical orthopaedics and related research. 1992 Jul(280):136-42. DOI: 10.1097/00003086-199207000-00016

Dendrinos GK, Kontos S, Lyritsis E. Use of the Ilizarov technique for treatment of non-union of the tibia associated with infection. The Journal of bone and joint surgery. American volume. 1995 Jun;77(6):835-46. DOI: 10.2106/00004623-199506000-00004

Al Shahrani AA, Tedla JS, Ahmad I. Effectiveness of ilizarov frame fixation on functional outcome in aseptic tibial non-union cases at Abha, Kingdom of Saudi Arabia: An experimental study. Journal of Taibah University Medical Sciences. 2015 Jun 1;10(2):216-21. DOI: 10.1016/j.jtumed.2014.09.002

Paley D, Maar DC. Ilizarov bone transport treatment for tibial defects. J Orthop Trauma. 2000;14(2):76–85. DOI:10.1097/00005131-200002000-00002

Cattaneo R, Catagni MA, Johnson EE. The treatment of infected nonunions and segmental defects of the tibia by the methods of Ilizarov. Clinical orthopaedics and related research. 1992 Jul; 280:143-52. DOI: 10.1097/00003086-199207000-00017

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