Tibia non-union management using limb reconstruction system fixator-a case series


  • Neetin P. Mahajan Department of Orthopedics, Grant Government Medical College, Mumbai, Maharashtra, India
  • Vaibhav V. Sakhare Department of Orthopedics, Grant Government Medical College, Mumbai, Maharashtra, India
  • Prasanna Kumar G. S. Department of Orthopedics, Grant Government Medical College, Mumbai, Maharashtra, India




Tibia non-union, LRS fixator, Infection


The management of non-unions is always the challenge to the orthopedic surgeons. It requires proper expertise in that field. Improper management leads to multiple surgeries and disability in patients. External fixation using limb reconstruction system (LRS) is one of the options in the management of these conditions. We present a series of 04 cases of non-union tibia managed with LRS fixator. All the patients had compound tibia fractures, 02 patients were managed initially with AO external fixator, one with plating and another with intramedullary nailing. Out of four cases, two cases were infected non unions and two cases were non infective non unions. All the four patients were managed secondarily with LRS fixator with less complications and good outcome. LRS fixator is one of the best options in the management of both infective and non-infective non unions of the tibia. It helps in both compression and distraction in a single frame with minimal complications. It gives good stability in the bone which helps in early weight bearing and adjacent joint range of motion.


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Case Series