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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
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.

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.
Year 2013, Volume: 30 Issue: 2, 175 - 177, 31.07.2013
https://doi.org/10.5835/jecm.omu.30.02.017

Abstract

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.
There are 12 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgery Medical Sciences
Authors

Davut Keskin

Adem Erkut This is me

Mehmet Balık This is me

Yılmaz Güvercin This is me

Publication Date July 31, 2013
Submission Date December 25, 2012
Published in Issue Year 2013 Volume: 30 Issue: 2

Cite

APA Keskin, D., Erkut, A., Balık, M., Güvercin, Y. (2013). Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report. Journal of Experimental and Clinical Medicine, 30(2), 175-177. https://doi.org/10.5835/jecm.omu.30.02.017
AMA Keskin D, Erkut A, Balık M, Güvercin Y. Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report. J. Exp. Clin. Med. July 2013;30(2):175-177. doi:10.5835/jecm.omu.30.02.017
Chicago Keskin, Davut, Adem Erkut, Mehmet Balık, and Yılmaz Güvercin. “Nonunion of the Tibia Following Intramedullary Nailing Treated by Ilizarov External Fixator: A Case Report”. Journal of Experimental and Clinical Medicine 30, no. 2 (July 2013): 175-77. https://doi.org/10.5835/jecm.omu.30.02.017.
EndNote Keskin D, Erkut A, Balık M, Güvercin Y (July 1, 2013) Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report. Journal of Experimental and Clinical Medicine 30 2 175–177.
IEEE D. Keskin, A. Erkut, M. Balık, and Y. Güvercin, “Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report”, J. Exp. Clin. Med., vol. 30, no. 2, pp. 175–177, 2013, doi: 10.5835/jecm.omu.30.02.017.
ISNAD Keskin, Davut et al. “Nonunion of the Tibia Following Intramedullary Nailing Treated by Ilizarov External Fixator: A Case Report”. Journal of Experimental and Clinical Medicine 30/2 (July 2013), 175-177. https://doi.org/10.5835/jecm.omu.30.02.017.
JAMA Keskin D, Erkut A, Balık M, Güvercin Y. Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report. J. Exp. Clin. Med. 2013;30:175–177.
MLA Keskin, Davut et al. “Nonunion of the Tibia Following Intramedullary Nailing Treated by Ilizarov External Fixator: A Case Report”. Journal of Experimental and Clinical Medicine, vol. 30, no. 2, 2013, pp. 175-7, doi:10.5835/jecm.omu.30.02.017.
Vancouver Keskin D, Erkut A, Balık M, Güvercin Y. Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report. J. Exp. Clin. Med. 2013;30(2):175-7.