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

https://doi.org/10.53730/ijhs.v6nS4.11152

Authors

  • Gopabandhu Patra Assistant Professor, Department of Orthopaedics, Bhima Bhoi Medical college, Balangir, Odisha, India,767001
  • Sahoo Soni Assistant Professor, Department of Ophthalmology, Bhima Bhoi Medical college, Balangir, Odisha, India,767001
  • Bhanjan Kumar Meher Assistant Professor, Department of Surgery, Bhima Bhoi Medical college, Balangir, Odisha, India,767001
  • Pravin G. Dhone Professor & Head, Department of Pharmacology, RSDKS GMC, Ambikapur

Keywords:

orthofix fixator, shortening, limb reconstruction

Abstract

The nonunion can develop after an open fracture, after 1oUs open reduction and internal fixation (ORIF), or as a sequela to chronic hematogenous osteomyelitis. The incidence also seems to be increasing especially in view of increasing high velocity trauma, which is usually treated by internal fixation. It is difficult to treat infected nonunion, because of the following reasons. Aim of the study is to observe the role of Orthofix limb reconstruction system as a treatment in non-union with bone loss with shortening due to fresh fractures. In the last twenty-five months we had the opportunity to treat thirteen cases of non-union and two cases of shortening With Limb reconstruction system. Out of thirteen patients eight patients had infected nonunion following open fracture and three patients had infected nonunion following previous surgeries with internal fixation for closed fractures and two patients had nonunion following treatment with traditional bone setters for closed fractures. Our follow up of cases varied from six to fifteen months. The results were divided into bony results and functional results, according to the classification of the ASAMI (Association for the study and application of the method of Ilizarov). 

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References

Ali F. Saleh M Injury. 2002 Mar; 33(2): 127-34

Aronson J. Good, B.Stewart et al. Preliminary studies of mineralization during distraction, Osteogenesis Clinic Ortho., 250, 43-49, 1990.

AS.A.M.IGroup: operative principles of lizarov.1991. Pg 42-52

Babulkar S, Pande K, Babulkar S. Clin Orthop Relat Res. 2005 Feb431): 50-6-Non-union of Diaphysis of long bones.

Behrens F, Searls K: External fixation of the tibia, Basic concepts J Bone and Joint Surg Br. 1986 Mar; 68 (2): 246-54.

Biasibetti A, Aloj D: Mechanical and biological treatment of kong bone nonunion: Injury.2005 Nov; 36 Suppl 4:S45-50.

Cadivilla The Orthopaedic Clinics of North America, Vol.21, No.4, Oct. 1990 by Vladimir Sachwartsman.

Campbell's operative orthopaedics 10 th edition vol.3 pg. 2706-2714

Cattaneo R, Catagni M, Johnson EE. The treatment of infected nonunions and segmental defects of the tibia by the methods of lizarov. Clin Orthop. 1992 Jul; (280):

Chanchit Sangkaew Injury.2005 Jan: 36(1) 185-93-Distraction osteogenesis using a conventional external fixator. A novel technique.

Chantelot C, Robert G; Role of external fixators for the treatment of humeral fractures; report of 23 cases treated with orthofix external fixators: Chir Main. 2002 Mar; 21 (2):134-9

Chao EY, Hein TJ: Mechanical performance of the standard orthofix external fixator. Orthopedics 1988 Jul; 11 (7): 1057-69.

Chapman's orthopaedic surgery 3 rd editiorn; 2001:Chapter 26.

Charles T. Price: Unilateral fixators and mechanical axis realignment. Orthopedic clinics of North America: vol.25.No.3.,July, 1994.

Chatziyiannakis AA, Nonunion of tibial fractures treated with external fixation. Acta Orthop Scand Supp. 1997 Oct; 275:77-9.

Chir Main. 2002 Mar; 21(2): 1M-9-Role of lixternal fixator in the treatment of humeral fractures

Dendrinos G.K, S. Kontos Use of the Ilizarov technique for treatment of nonunion of the tibia associated with infection. JBJS Vol 77-A, No. 6, June 1995.

Donnan LT, Saleh M, Rigby AS: JBJS Br. 2003 Mar; 85{2): 254-60.

dukewyeh.GJ, Sperlingl.W, Results of treatment of infected Humeral Nonunions: The Mayo clinic experience. CORR No.414, Pp.25-30, 2003

Dwijaya, A., & Atmaja, M. H. S. (2022). Clinical and imaging findings of klippel-trenaunay syndrome: A case report. International Journal of Health & Medical Sciences, 5(1), 145-149. https://doi.org/10.21744/ijhms.v5n1.1860

Eduardo Garcia-Cimbrelo et al; Circular external fixation in tibial nonunions. Clin orthop. No.419, Feb 2004

Franco ML, Lodovico RB, Piergiulio: Bio mechanical factors in designing screws for the Orthofix system Clinical Orthopaedics and related research No.308, pp 63-67:1994

Gopal.S, S.Majumder; The radical orthopaedic and plastic treatment of severe open fractures of the tibia: JBJS Vol 82-B, No.7 sep 2000.

Green SA, Moore TA, Spohn PJ: Orthopedics. 1988 Aug: 11 (8):1149-57.

Guadrini G, Pascarella R, Colozza A, Stagni C:Infected nonunion of the humerus. Chir Degli Organi Di Movi 85:251-255, 2000

Guidera KJ, Hess WE, Highhouse KP, Ogden JA.Extremity lengthening: results and complications Pediatr orthop. 1991 Jan-Feb

Hashmi MA, Ali A: Management of nonunion with monolateral 20 external fixation. Injury. 2001 Dec; 32 Suppl 4:SD304.

Hessmann M, Mattens M, Use of unilateral external fixator in fracture treatment: experience in 50 patients: Unfallchirurg.1994 Oct; 97(10): 511-7.

Jain AK, Sinha S: Infected nonunion of long bones. CORR 2005 Feb(431): 57-65.

Jorge F. Alonso M.D. and Pietro Regazzoni The Orthopaedic Clinics of North America, Vol.21, No.4, Oct.1990 by Vladimir Sachwartsman.

Judelreatment of non-unions. General Principles. Operative Orthopaedics by Michael W. Chapman.

Keating JF, Gardener E, Management of tibial fractures with the orthofix dynamic external fixator; J R Coll Surg Edinb.1991 Aug; 36(4): 267

Keith A.Mayo and Stephen K.Benirschke, OCNA, 21/4, 1990.

Kelly PJ: Infected nonunion of the femur and tibia. Orthop clin North Am. 1984 July; 15(3): 481-90.

Kim NH, Hahn SB, The orthofix external fixator for the fracture of long bones;Int. Orthop.1994 Feb; 18(1): 42-6

Kousik D.Markel Fitzgerald and Manual L.Brown. Scintigraphic evaluation in musculo skeletal sepesic, Ortho. Clinic of North America, Vol.15, No.3, July 1984.

Lavm , Renzi Brivio l, Treatment of nonunion of the humerus using the orthotis tivator: Injury.2001 Dec; 12 Suppl 4:S35-10.

LJ. Prokuski, J.L. Marsh The role of bone transport OCNA; Vol. 25:No.4: Oct. 1994.

Magyar G. Hydroxyapatite coating of threaded pins enhances fixation JBJS Br. 1997 May; 79(3): 487-9.

Mahaluxmivala J, Nadarajah R: Injury 2005 May; 36(5): 662-8.

Manual on the AO/ ASIF tubular external fixator: 1985 edition.

Melender HM, Colon C: Clinical Orthopaclics and related research. Treatment of open tibial fractures with the orthofix fixator; 1989 Apr; No.241. pp.224-30.

Merchant T, Dietz F: Journal of bone and joint surgery71 |A: 599-606, 1989.

Muharrem Inan et al; Treatment of femoral nonunion by cyclic compression and distraction CORR No. 436, pp. 222-228, 2005.

Ong CT, Choon DS, The treatment of open tibial fractures and of tibial nonunion with a novel external fixator:Injury.2002 Nov; 33(9):

Orthopaedics and related research: No.414, pp.25-30, 2003.

Paley D, Catagni MA, Argnani F, Villa A, Benedetti GB, Cattaneo R. Ilizarov treatment of tibial nonunions with bone loss. Clin Orthop. 1989 Apr:(241):146-65.

Panagiotis M: Classification of nonunion. Injury. 2005 Nov; 36 Suppl . 4:530-7.

Patzakis MJ, Results of bone grafting for infected tibial nonunion: CORR 1995 Jun;(315): 192-8.

Price CT, Mann ]W. experience with the orthofix device for limb lengthening: Orthop clin North Am. 1991 Oct; 22(1): 651-61.

Ralston 1:1Orthop Trauma. 1990; 4(4): 419-57.

Rockwood and Groen's 5th edition vol.1 pg.231-43

Romen Gristllo, Stuart, A. Green and Thomas A.Dlabal. The open bone 8ratt for septic non union., Clinic Ortho., 180, 117 - 124. Nov.1983. 1. Prokuski LJ, Marsh JL. Segmental bone deficiency after acute trauma: The role of bone transport. Orthop Clin North Am. 1994 Oct; 25(4): 753- 63.

Ruedi T.P, W.M Murphy AO Principles of fracture management, 2000.

Shaw DL, Lawton JO: Clinical results and cost effectiveness of external fixation JR Coll Surg Edinb. 1995 Oct; 40(5): 344-6.

Thomas P. Ruedi, William M. Murphy: AO principles of fracture management; pg 765-77

Toh CL, Jupiter JB: The infected nonunion of the tibia. Clin Orthop Relat Res. 1995 Jun:(315): 176-91.

Ueng SW, Wei FC, Shih CH: Management of femoral diaphyseal infected nonunion J Trauma. 1999 Jan; 46(1): 97-103.

Websites- www.othofix.com, www.pubmed.com, www.jbjs.org

Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202

Zachee B, Roosen P: The dynamic axial fixator in fractures of the tibia 59. and femur. A retrospective study in 98 patients: Acta orthop.Belg.1991; 57(3): 266-71

Published

26-07-2022

How to Cite

Patra, G., Soni, S., Meher, B. K., & Dhone, P. G. (2022). Observation of role of orthofix limb reconstruction system in with non-union with bone loss shortening due to fresh fractures. International Journal of Health Sciences, 6(S4), 8891–8899. https://doi.org/10.53730/ijhs.v6nS4.11152

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