Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report

Year 2013, Volume: 30 Issue: 2, 175 - 177, 31.07.2013

Davut Keskin , Adem Erkut Mehmet Balık Yılmaz Güvercin

https://doi.org/10.5835/jecm.omu.30.02.017

Abstract

Nonunion may be encountered, though occasionally, following fixation of long bone (such as tibia) fractures with an intramedullary nail. Despite availability of several treatment options in such situations, none seems to be ideal. In this study, we reported a case with aseptic tibia nonunion which was treated with Ilizarov external fixator over the intramedullary nail, which is a relatively novel modality with few studies available, and we proposed the method as an effective one with emphasis on further studies to explore the method.

Keywords

Ilizarov , Intramedullary nail , Nonunion , Tibia

References

• Audige, L., Griffin, D., Bhandari, M., Kellam, J., Ruedi, T.P., 2005. Path analysis of factors for delayed healing and nonunion in 416 operatively treated tibial shaft fractures. Clin. Orthop. Relat. Res. 43, 221-232.
• Brinker, M.R., O’Connor, D.P., 2003. Ilizarov compression over a nail for aseptic femoral nonunions that have failed exchange nailing: A report of five cases. J. Orthop. Trauma. 17, 668-676.
• Drosos, G.I., Bishay, M., Karnezis, I.A., Alegakis, A.K., 2006. Factors affecting fracture healing after intramedullary nailing of the tibial diaphysis for closed and grade I open fractures. J. Bone Joint Surg. Br. 88, 227-231.
• Mayr, E., Frankel, V., Ruter, A., 2000. Ultrasound-an alternative healing method for nonunions? Arch. Orthop. Trauma Surg. 120, 1-8. Menon, D.K., Dougall, T.W., Pool, R.D., Simonis, R.B., 2002. Augmentative Ilizarov external fixation after failure of diaphyseal union with intramedullary nailing. J. Orthop. Trauma. 16, 491-497.
• Paley, D., Herzenberg, J.E., Paremain, G., Bhave, A., 1997. Femoral lengthening over an intramedullary nail. J. Bone Joint. Surg Am. 79, 146414
• Patel, V.R., Menon, D.K., Pool, R.D., Simonis, R.B., 2000. Nonunion of the humerus after failure of surgical treatment. Management using the Ilizarov circular fixator. J. Bone Joint Surg. Br. 82, 977-983.
• Patil, S., Montgomery, R., 2006. Management of complex tibial and femoral nonunion using the Ilizarov technique, and its cost implications. J. Bone Joint Surg. Br. 88, 928-932.
• Rosen, H., 1998. Nonunion and malunion. In: Skeletal Trauma, Vol. 1, 2 nd ed. B.D. Browner, J.B. Jupiter, A.M. Levin, P.G. Trafton, eds. WB Saunders, Philadelphia, pp. 619-660.
• Sen, C., Eralp, L., Gunes, T., Erdem, M., Ozden, V.E., Kocaoglu, M., 2006. An alternative method for the treatment of nonunion of the tibia with bone loss. J. Bone Joint Surg. Br. 88, 783-789.
• Shuler, T.E., 1996. Trauma: Complications-delayed union/nonunion. In: Review of Orthopaedics, 2nd ed. M.D. Miller, ed. WB Saunders, Philadelphia, pp. 351-354.
• Winquist, R.A., Hansen, S.T.Jr., Clawson, D.K., 1984. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases. J. Bone Joint Surg. Am. 66, 529-539.
• Zelle, B.A., Gruen, G.S., Klat, B., Haemmerle, M.J., Rosenblum, W.J., Prayson, M.J., 2004. Exchange reamed nailing for aseptic nonunion of the tibia. J. Trauma. 57, 1053-1059.