Management of forearm bone gap non-unions by Ilizarov technique

Bari M.M., Islam S., Shetu N.H., Rahman M.

Abstract


Purpose
Proper treatment of forearm bone gap non-union should achieve both biological stimulation of the bone and elastic mechanical stability. The use of Ilizarov technique enhances the healing of a non-union providing osteogenic, osteoconductive and an optimal stability with the Ilizarov fixation. We retrospectively reviewed 26 patients affected by forearm bone non-union and treated with the Ilizarov fixation.
Materials and Methods
Twenty six patients were treated for gap non-unions of forearm bones with the Ilizarov compression distraction device from 2000 to 2015 in BARI-ILIZAROV ORTHOPAEDIC CENTRE.
Results
All the difficult non-unions healed in a mean of 7 months, ranging from 5 to 12 months. At the latest follow- up, forearm functions were satisfactory. Conclusion The Ilizarov compression distraction device is a fantastic tool in promoting the healing of forearm nonunions, even if the bones are very atrophic.

Keywords


Forearm bone non-union, Distraction osteogenesis, Ilizarov technique

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