Fibula bone grafting in infected gap non union: A prospective case series
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:109
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Bansal S, Kumar S, Jain
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Introduction: Infected gap non union may be result of osteomyelitis or compound fractures. This is always a challenge for the surgeon. The incidence varies widely. Ilizarov’s technique is one of the options available, which is a time taking, cumbersome procedure and needs an expert. We performed fibula grafting as a 2 staged procedure. First is debridement with external fixation, followed by fibula grafting to bridge the gap.
Methods: 11 patients were enrolled in the study with infected gap nonunion. Followed up for 14 months. Procedure: I) first a through debridement and external fixator under appropriate antibiotic cover. II) after infaction is controlled fibula grafting to birch the gap fixed with cortical screws, external fixator is retained till the wound heels. III) fixator is removed and cast immobilization for another 2 weeks. VI) removal of cast, non-weight baring exercises for 2 weeks. V) partial weight baring with crèches.
Conclusion: Fibula bone grafting is a good option for infected gap nonunion. we achieved good results in 90% of the patients at our setup. This method is less time consuming and less demanding as compared to llizarov. Our study is simplification of the complex problem and protocol for the management, which is tine saving requires less expertise, easily reproducible specially in our Indian scenario and cost effective.
|How to Cite this Abstract|
|Bansal S, Kumar S, Jain. Fibula bone grafting in infected gap non union: A prospective case series . International Journal of Conference Proceedings 2015;(2015):109|